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Vermont rates for HCPCS 40804

Removal of embedded foreign body, vestibule of mouth; simple

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.40 / $231.48 / $1,064.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.19 / $267.88 / $688.28
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$174.03 / $282.01 / $688.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.84 / $282.33 / $844.79