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Wyoming 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
$442.51 / $442.51 / $607.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,121.00 / $1,735.00 / $2,382.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.47 / $712.84 / $1,036.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,275.00 / $2,962.56 / $5,606.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.16 / $991.80 / $1,789.68