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Lip Reconstruction With a Cross-Lip Flap

South Carolina rates for HCPCS 40761

Reconstructive surgery that borrows a wedge of tissue from the opposite lip, left attached by its own small blood supply, and swings it across to rebuild a lip that is deficient or distorted. The connecting bridge stays in place for a period so the transferred tissue can establish a blood supply in its new position, and is divided at a second stage. It is used when there is not enough lip tissue to close the gap directly.

Facilitymedian $9,120 · 10th–90th $1,288$16,9820%10%10th90th$9,120Professionalmedian $1,230 · 10th–90th $1,023$2,2390%20%10th90th$1,230$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
$2,951.21
Median
$9,120.11
Typical High
$16,595.87
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,258.93
Typical High
$2,398.83
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$9,772.37
Typical High
$17,378.01
BCBS
Setting
Professional
Modifier
Global
Typical Low
$912.01
Median
$1,288.25
Typical High
$2,089.30
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,318.26
Typical High
$1,862.09
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
Medcost
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$1,348.96
Typical High
$2,187.76
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$4,570.88
Median
$15,488.17
Typical High
$25,703.96
United
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,047.13
Typical High
$1,819.70