Lip repair surgery

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HB Repair Lip Full Thickness; Vermilion Only

Payers reporting CPT 40650

Payer pricing summary

Low

$352

Average

$1.2k

Median

$1.0k

High

$4.3k

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +30 other terms	404	$519	$733	$1.0k	139%	1–10	$1 – $12.8k
2	Carefirst fee schedule · both · +9 other terms	7	$1.0k	$1.9k	$1.4k	72%	1–10	$1.0k – $4.4k
3	UnitedHealthcare fee schedule · outpatient · +36 other terms	596	$561	$949	$1.4k	145%	—	$1 – $17.9k
4	Aetna fee schedule · outpatient · +35 other terms	537	$603	$1.7k	$3.2k	187%	—	$1 – $37.3k
5	Blue Cross Blue Shield fee schedule · outpatient · +34 other terms	416	$891	$1.5k	$2.4k	157%	—	$1 – $39.1k
6	Cigna case rate · outpatient · +27 other terms	304	$6.3k	$7.5k	$6.6k	89%	—	$1 – $40.7k
7	Molina fee schedule · outpatient · +25 other terms	242	$474	$415	$302	73%	—	$1 – $2.1k
8	WellCare fee schedule · outpatient · +22 other terms	178	$543	$614	$518	84%	—	$111 – $4.3k
9	Anthem fee schedule · outpatient · +28 other terms	144	$512	$748	$899	120%	—	$120 – $6.3k
10	Oscar case rate · outpatient · +22 other terms	137	$3.2k	$2.5k	$1.1k	43%	—	$796 – $7.5k
11	Kaiser fee schedule · outpatient · +22 other terms	104	$711	$955	$761	80%	—	$25 – $4.3k
12	MultiPlan fee schedule · outpatient · +23 other terms	96	$1.1k	$1.2k	$1.0k	83%	—	$466 – $10.2k
13	Ambetter fee schedule · outpatient · +20 other terms	93	$945	$979	$534	55%	—	$254 – $2.7k
14	Aetna Better Health fee schedule · outpatient · +18 other terms	82	$236	$289	$173	60%	—	$147 – $1.8k
15	Devoted facility · fee schedule · outpatient · +17 other terms	70	$510	$590	$524	89%	—	$153 – $4.9k
16	Tricare fee schedule · outpatient · +20 other terms	70	$575	$830	$1.0k	124%	—	$219 – $5.1k
17	Caresource fee schedule · outpatient · +15 other terms	66	$538	$806	$829	103%	—	$1 – $4.3k
18	Optum fee schedule · outpatient · +24 other terms	64	$484	$595	$333	56%	—	$274 – $2.0k
19	Healthcare Highways case rate · outpatient · +3 other terms	52	$1.9k	$1.8k	$448	25%	—	$1.2k – $2.3k
20	Medica fee schedule · outpatient · +23 other terms	42	$784	$863	$383	44%	—	$158 – $1.8k
21	Superior Healthplan case rate · outpatient · +6 other terms	38	$948	$942	$26	3%	—	$765 – $948
22	First Health fee schedule · outpatient · +21 other terms	37	$647	$1.7k	$3.1k	179%	—	$187 – $10.2k
23	Cigna Healthspring fee schedule · outpatient · +8 other terms	35	$502	$422	$158	37%	—	$197 – $575
24	Clover fee schedule · outpatient · +11 other terms	35	$569	$998	$1.2k	119%	—	$335 – $4.4k
25	Phcs fee schedule · outpatient · +16 other terms	34	$1.7k	$2.5k	$1.9k	78%	—	$885 – $6.3k

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