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Repair Of A Cleft Lip Affecting Both Sides, Single Surgery

Missouri 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 $4,898 · 10th–90th $1,820$10,0000%5%10%10th90th$4,898Professionalmedian $1,413 · 10th–90th $1,096$4,8980%20%10th90th$1,413$500.0$1.0K$2.0K$5.0K$10.0K$20.0K

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
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$4,897.79
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,348.96
Typical High
$6,456.54
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$4,897.79
Typical High
$10,000.00
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,412.54
Typical High
$2,290.87
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,148.15
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$1,445.44
Typical High
$2,290.87
Medica
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$2,884.03
Typical High
$26,302.68
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,778.28
Typical High
$8,709.64
United
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$4,677.35
Typical High
$7,943.28
United
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,548.82
Typical High
$2,951.21