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Missouri 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
$259.82 / $2,507.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.96 / $278.12 / $595.83
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,963.00 / $4,852.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.22 / $275.86 / $447.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$197.51 / $360.71 / $597.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.59 / $334.80 / $2,332.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.97 / $624.85 / $2,064.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,185.00 / $2,332.00 / $3,071.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.05 / $492.17 / $768.55