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Tennessee 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
$694.00 / $2,652.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.81 / $540.34 / $789.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,375.00 / $2,267.00 / $3,514.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.47 / $562.79 / $922.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.50 / $604.42 / $1,256.60
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,963.76 / $3,023.40 / $26,542.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,123.28 / $4,247.04 / $4,984.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,130.00 / $2,260.00 / $4,085.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.42 / $626.39 / $1,207.30