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Missouri 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
$612.00 / $3,307.00 / $7,996.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.14 / $566.34 / $1,001.82
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,279.00 / $10,011.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.47 / $567.79 / $907.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.39 / $626.55 / $1,048.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.05 / $825.00 / $5,100.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$536.94 / $973.55 / $4,369.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,123.00 / $2,054.00 / $2,962.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$507.08 / $769.83 / $1,295.81