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Repair Of A Cleft Lip Affecting Both Sides, Single Surgery

Delaware rates for HCPCS 40701

This surgery repairs a cleft lip that affects both sides of the upper lip, correcting the separation and reshaping the lip and nose in one operation. It restores a more typical lip shape and function, and is usually performed on an infant. Repairing both sides together in a single procedure is chosen when the cleft on each side allows it.

Rates data updated July 2026.

Facilitymedian $7,244 · 10th–90th $1,259$7,5860%50%10th90th$7,244Professionalmedian $1,175 · 10th–90th $1,175$3,1620%50%90th$1,175$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$7,585.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,174.90
Typical High
$3,162.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,230.27
Typical High
$1,479.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$1,230.27
Typical High
$1,659.59