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Revision Of An Earlier Cleft Lip Repair

Vermont rates for HCPCS 40720

Revises a previous cleft lip repair by reopening the old scar, recreating the gap underneath, and closing it again in a better-balanced way. It is done when the first repair has left an uneven lip border, a tight or notched scar, or a distorted nostril as the face has grown. It is planned surgery, timed to suit the child's growth rather than done urgently.

Rates data updated July 2026.

How much does Revision Of An Earlier Cleft Lip Repair cost?

$1,318

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $1,318 for this service. Most negotiated rates run $1,047 to $1,318.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $1,318 · 10th to 90th $1,047 to $1,660
$500$1K$2K$5Kprofessional $1,318

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,047.13
Typical High
$1,318.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$1,479.11
Typical High
$3,311.31
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$1,096.48
Median
$1,659.59
Typical High
$1,659.59
United
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,445.44
Typical High
$4,365.16

Where Vermont sits

The same service costs 6.2 times more in California than in West Virginia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Vermont· 41st of 51

$1,318

CA $6,310WV $1,023

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.