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Delaware rates for HCPCS 40804

Rmvl Embedded Fb Vestibule Mouth Smpl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,907.00 / $6,907.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.95 / $134.83 / $191.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.21 / $190.44 / $331.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.04 / $277.06 / $447.22