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North Carolina rates for HCPCS 40654

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

Facilitymedian $912 · 10th–90th $479–$5,4950%10%10th90th$912Professionalmedian $589 · 10th–90th $417–$1,2590%10%20%10th90th$589$500.0$1.0K$2.0K$5.0K$10.0K$20.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $1,023.29 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $588.84 / $1,148.15
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $741.31 / $1,258.93
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $645.65 / $1,202.26
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$794.33 / $794.33 / $870.96
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $602.56 / $851.14
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230.27 / $3,890.45 / $6,760.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$371.54 / $537.03 / $1,071.52
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $3,715.35 / $45,708.82
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,265.80 / $4,265.80 / $5,011.87