| Code | Description | States | Median rate |
|---|---|---|---|
| 40490 | Biopsy of the lip | 48 | $92.97 |
| 40700 | Cleft lip repair, one side, first | 48 | $754.65 |
| 40701 | Cleft lip repair, both sides, one stage | 48 | $942.74 |
| 40702 | Cleft lip repair, both sides, one of two stages | 48 | $736.75 |
| 40720 | Cleft lip repair, revision | 48 | $801.58 |
| 40799 | Unlisted lip procedure | 11 | $153.58 |
| 40800 | Drainage of a mouth abscess, simple | 48 | $140.88 |
| 40801 | Drainage of a mouth abscess, complicated | 48 | $225.21 |
| 40806 | Lip frenum incision | 44 | $78.73 |
| 40819 | Lip or cheek frenum removal | 46 | $219.43 |
| 40899 | Unlisted mouth vestibule procedure | 11 | $153.41 |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.