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Repair Of A Cleft Lip Affecting Both Sides, Single Surgery

Mississippi 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 $2,512 · 10th–90th $955$8,3180%10%10th90th$2,512Professionalmedian $1,660 · 10th–90th $1,096$3,3880%10%10th90th$1,660$50.0$200.0$1.0K$5.0K$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
$776.25
Median
$1,230.27
Typical High
$3,388.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,905.46
Typical High
$3,388.44
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$2,951.21
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$2,290.87
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,019.95
Typical High
$3,019.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$1,258.93
Typical High
$2,238.72
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,122.02
Median
$4,466.84
Typical High
$10,715.19
United
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,288.25
Typical High
$2,691.53