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West Virginia 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
$413.42 / $558.87 / $1,700.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.81 / $514.27 / $710.34
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.77 / $496.52 / $540.97
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$480.86 / $480.86 / $480.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$722.07 / $722.07 / $722.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$404.09 / $638.46 / $1,484.25
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$716.16 / $716.16 / $716.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,225.00 / $1,225.00 / $1,225.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$440.52 / $662.33 / $1,023.84