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Virginia rates for HCPCS 40654

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

Facilitymedian $2,138 · 10th–90th $501$7,9430%5%10th90th$2,138Professionalmedian $603 · 10th–90th $417$1,0000%10%10th90th$603$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$645.65 / $3,630.78 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $588.84 / $954.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,981.07 / $4,466.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $660.69 / $1,023.29
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $1,513.56 / $2,754.23
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $724.44 / $724.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$436.52 / $616.60 / $933.25
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $741.31 / $870.96
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$676.08 / $676.08 / $870.96
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $630.96 / $933.25
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,122.02 / $1,122.02 / $1,122.02
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$389.05 / $588.84 / $4,073.80
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $776.25 / $4,073.80
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,698.24 / $3,162.28 / $5,754.40
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $562.34 / $933.25