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Arizona 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
$1,162.00 / $2,640.00 / $5,506.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.41 / $278.12 / $1,247.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.60 / $1,640.88 / $2,700.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.84 / $249.75 / $363.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$337.28 / $337.28 / $337.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.50 / $279.42 / $503.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$179.64 / $279.63 / $2,017.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.20 / $364.08 / $2,064.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,578.00 / $2,567.00 / $5,029.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.48 / $311.20 / $556.04