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Texas rates for HCPCS 40654

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

Facilitymedian $2,692 · 10th–90th $631–$10,2330%5%10%10th90th$2,692Professionalmedian $589 · 10th–90th $407–$1,0000%10%10th90th$589$50.0$200.0$1.0K$5.0K$20.0K

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
$812.83 / $3,467.37 / $12,022.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $588.84 / $1,000.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,047.13 / $2,187.76 / $4,168.69
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $549.54 / $870.96
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $389.05 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $645.65 / $933.25
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $45,708.82 / $45,708.82
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,265.80 / $5,011.87 / $5,011.87
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$426.58 / $707.95 / $4,073.80
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$446.68 / $707.95 / $1,230.27
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $478.63
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$407.38 / $588.84 / $912.01
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $645.65 / $977.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $2,041.74 / $4,073.80
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $512.86 / $758.58
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$588.84 / $588.84 / $630.96