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North Carolina rates for HCPCS 40812

Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair

Facilitymedian $1,445 · 10th–90th $263–$5,4950%10%10th90th$1,445Professionalmedian $324 · 10th–90th $191–$8320%10%20%10th90th$324$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$281.84 / $1,445.44 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $323.59 / $831.76
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $416.87 / $741.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $354.81 / $616.60
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$181.97 / $295.12 / $489.78
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $223.87 / $741.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,230.27 / $3,890.45 / $6,760.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $288.40 / $575.44
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $3,890.45 / $3,890.45
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,995.26 / $1,995.26 / $2,290.87