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Last updated: October 2026CMS rates · Free lookup

Medicare Fee Schedule Lookup

Search 2026 Medicare reimbursement rates and national payment amounts by CPT, HCPCS, MS-DRG, or NDC code. The lookup includes the Physician Fee Schedule, Drug ASP, MS-DRG weights and national rates, anesthesia conversion factors, the Clinical Laboratory Fee Schedule, DMEPOS, ambulance, opioid treatment program, and Part D negotiated price data from CMS.

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40806
20262025

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Physician Fee Schedule·40806·National·2026, 2025
Current non-facility rate
$101.21▲0.0%
Facility: $28.73
Recent trend
Code description

Cut Tissue Joining Lip To Gum, Surgery To Cut The Labial Frenum (The Tag Of Tissue In The Center Of The Upper And Lower Lip That Joins The Lip To The Gums).

CodeDateStateLocalityCarrierNon-Facility FeeFacility FeeDescription
4080610/2026N/A0000000$101.21$28.73Cut Tissue Joining Lip To Gum, Surgery To Cut The Labial Frenum (The Tag Of Tissue In The Center Of The Upper And Lower Lip That Joins The Lip To The Gums).
408067/2026N/A0000000$101.21$28.73Cut Tissue Joining Lip To Gum, Surgery To Cut The Labial Frenum (The Tag Of Tissue In The Center Of The Upper And Lower Lip That Joins The Lip To The Gums).
408064/2026N/A0000000$101.21$28.73Cut Tissue Joining Lip To Gum, Surgery To Cut The Labial Frenum (The Tag Of Tissue In The Center Of The Upper And Lower Lip That Joins The Lip To The Gums).
408061/2026N/A0000000$101.21$28.73Cut Tissue Joining Lip To Gum, Surgery To Cut The Labial Frenum (The Tag Of Tissue In The Center Of The Upper And Lower Lip That Joins The Lip To The Gums).
4080610/2025N/A0000000$97.36$29.44Cut Tissue Joining Lip To Gum, Surgery To Cut The Labial Frenum (The Tag Of Tissue In The Center Of The Upper And Lower Lip That Joins The Lip To The Gums).
408067/2025N/A0000000$97.36$29.44Cut Tissue Joining Lip To Gum, Surgery To Cut The Labial Frenum (The Tag Of Tissue In The Center Of The Upper And Lower Lip That Joins The Lip To The Gums).
408064/2025N/A0000000$97.36$29.44Cut Tissue Joining Lip To Gum, Surgery To Cut The Labial Frenum (The Tag Of Tissue In The Center Of The Upper And Lower Lip That Joins The Lip To The Gums).
408061/2025N/A0000000$97.36$29.44Cut Tissue Joining Lip To Gum, Surgery To Cut The Labial Frenum (The Tag Of Tissue In The Center Of The Upper And Lower Lip That Joins The Lip To The Gums).
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Compare Medicare rates with published commercial rates for the same code

Search negotiated rates from more than 180 commercial payers by NPI, TIN, and ZIP code. Review historical rates or export the data through API, SQL, MCP, or bulk download.

Medicaid comparison

See what state Medicaid programs pay for the same codes

50 state Medicaid agencies publish their own physician fee schedule, and the rate for a single code can differ several times over between them. Rates for 20 common codes, including 99213, 99214, 99203 are free in every state that prices them, with no login.

17,674 codes and 974,327 published rates, taken from the files the state agencies publish themselves.