go back

Arkansas rates for HCPCS 40804

Rmvl Embedded Fb Vestibule Mouth Smpl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.85 / $262.07 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.90 / $172.22 / $250.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$839.58 / $839.58 / $1,007.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.03 / $179.45 / $265.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.53 / $67.53 / $67.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.37 / $204.79 / $334.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$590.00 / $1,263.00 / $2,558.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.54 / $205.66 / $384.48