go back

Mississippi rates for HCPCS 40800

Drg Absc Cst Hmtma Vestibule Mouth Smpl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.92 / $750.00 / $1,831.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.65 / $204.75 / $557.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.28 / $216.28 / $216.28
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.00 / $210.00 / $210.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.29 / $159.29 / $281.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.94 / $211.69 / $371.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.00 / $825.00 / $1,957.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.13 / $266.35 / $514.24