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Kansas rates for HCPCS 40654

Repair lip, full thickness; over one-half vertical height, or complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$734.40 / $4,376.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.15 / $612.00 / $986.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$783.75 / $1,154.56 / $1,833.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.67 / $605.50 / $811.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$505.00 / $505.00 / $505.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.34 / $649.17 / $908.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$518.36 / $719.26 / $3,918.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.61 / $739.07 / $4,369.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$871.00 / $2,081.00 / $3,842.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$578.66 / $685.43 / $1,045.28