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Michigan 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
$231.91 / $2,056.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.96 / $257.55 / $368.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.04 / $403.32 / $546.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.11 / $185.80 / $292.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.78 / $253.61 / $420.24
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.08 / $2,056.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.90 / $286.31 / $442.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.69 / $224.13 / $338.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,527.00 / $4,857.00 / $6,327.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.57 / $370.58 / $472.91