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Maryland 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
$2,630.27 / $2,951.21 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $323.59 / $1,174.90
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $204.17 / $245.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $316.23 / $602.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $346.74 / $537.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $707.95 / $707.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $288.40 / $501.19
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $389.05 / $457.09