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Indiana 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
$181.75 / $543.00 / $9,153.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.96 / $257.55 / $365.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,042.00 / $5,230.00 / $8,240.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.91 / $250.81 / $443.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.11 / $216.80 / $342.66
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.38 / $286.16 / $374.07
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.36 / $245.36 / $245.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.41 / $271.12 / $558.04
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
$245.32 / $326.51 / $727.84