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Repair Of A Cleft Lip Affecting Both Sides, Single Surgery

Wyoming 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 $12,023 · 10th–90th $5,129$18,6210%20%40%10th90th$12,023Professionalmedian $4,786 · 10th–90th $1,778$5,7540%20%10th90th$4,786$1.0K$2.0K$5.0K$10.0K

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
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,202.26
Typical High
$1,698.24
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$4,786.30
Typical High
$5,754.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,778.28
Typical High
$2,454.71
United
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$12,022.64
Typical High
$18,620.87
United
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,995.26
Typical High
$3,715.35