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New York 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
$540.99 / $3,621.00 / $9,038.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.79 / $590.54 / $995.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,393.00 / $4,142.00 / $9,074.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.03 / $549.07 / $1,370.33
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.54 / $1,990.00 / $8,917.50
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.54 / $594.54 / $824.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$722.07 / $722.07 / $722.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.12 / $694.39 / $1,529.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.00 / $588.00 / $1,128.13
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.35 / $817.05 / $1,690.00
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.46 / $547.64 / $1,093.18
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $722.07 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$435.04 / $746.61 / $1,545.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,883.00 / $3,670.00 / $7,203.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.36 / $666.71 / $1,481.67
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$514.04 / $514.04 / $1,671.00
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.46 / $704.37 / $1,358.28