go back

Alabama rates for HCPCS 40804

Rmvl Embedded Fb Vestibule Mouth Smpl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.55 / $1,251.00 / $2,250.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.90 / $218.55 / $364.07
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $179.50 / $241.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.79 / $134.80 / $217.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.32 / $189.34 / $613.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $1,754.00 / $3,362.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.38 / $213.34 / $326.85