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Alabama rates for HCPCS 40801

Drg Absc Cst Hmtma Vestibule Mouth Comp

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$565.15 / $1,223.00 / $2,250.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.24 / $386.24 / $565.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,223.08 / $1,484.28 / $1,996.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.95 / $247.95 / $345.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.52 / $312.20 / $1,122.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.00 / $850.00 / $1,323.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.28 / $293.08 / $496.02