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Indiana rates for HCPCS 40810

Exc Les Mucosa & Sbmcsl Vestibule Mouth W/O Rpr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.12 / $231.88 / $5,634.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.95 / $186.71 / $269.51
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$970.00 / $5,790.87 / $8,240.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.37 / $169.31 / $292.32
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.05 / $145.35 / $267.54
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.23 / $221.73 / $289.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.27 / $213.27 / $213.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.44 / $185.80 / $423.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,400.00 / $3,870.00 / $5,490.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.60 / $232.08 / $557.14