go back

Rhode Island rates for HCPCS 40800

Drg Absc Cst Hmtma Vestibule Mouth Smpl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,706.14 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.76 / $181.83 / $261.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.77 / $252.31 / $359.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $250.00 / $431.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,069.00 / $1,788.00 / $4,602.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.48 / $269.12 / $442.67