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Oklahoma 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
$957.00 / $3,684.00 / $12,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.36 / $553.88 / $616.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,436.64 / $5,337.43 / $8,386.21
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.60 / $687.63 / $755.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$454.02 / $612.80 / $837.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$450.63 / $647.04 / $3,790.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.14 / $623.99 / $4,369.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.00 / $2,268.00 / $4,012.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.27 / $596.55 / $900.10