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Maine rates for HCPCS 40654

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $602.56 / $1,348.96
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $676.08 / $954.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $776.25 / $1,318.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $758.58 / $1,202.26
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $691.83 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $724.44 / $1,202.26