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Alaska rates for HCPCS 40812

Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$779.68 / $6,541.00 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.96 / $305.93 / $1,425.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.71 / $620.71 / $897.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.83 / $1,352.36 / $1,995.57
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.58 / $1,157.09 / $1,777.60
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$739.80 / $1,124.55 / $1,850.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.83 / $1,352.36 / $1,995.57
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.47 / $1,041.25 / $1,826.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.68 / $1,082.70 / $1,659.86