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Vermont rates for HCPCS 40654

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $616.60 / $1,174.90
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $933.25 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $794.33 / $1,905.46
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $977.24 / $977.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $707.95 / $1,380.38