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Virginia 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
$275.42 / $1,348.96 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $295.12 / $562.34
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,090.30 / $3,981.07 / $4,466.84
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $295.12 / $446.68
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $309.03 / $3,548.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $302.00 / $512.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $346.74 / $891.25
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $380.19 / $676.08
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $338.84 / $537.03
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $257.04 / $4,073.80
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $380.19 / $4,073.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,737.80 / $3,467.37 / $5,754.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $281.84 / $501.19