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Massachusetts 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
$584.30 / $2,663.12 / $4,410.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.84 / $602.44 / $1,001.82
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.53 / $2,411.51 / $8,498.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.03 / $916.53 / $3,123.28
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$514.10 / $668.33 / $1,179.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.28 / $886.45 / $1,865.30
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.10 / $937.40 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.08 / $830.10 / $1,145.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$533.71 / $1,119.72 / $1,648.22
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,640.00 / $3,372.00 / $26,542.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$687.82 / $1,138.83 / $4,247.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $3,592.00 / $8,498.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$623.44 / $837.88 / $1,607.76