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Arizona rates for HCPCS 40814

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,582.00 / $2,933.00 / $6,483.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.29 / $371.87 / $783.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$587.35 / $2,197.38 / $3,616.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.89 / $378.50 / $493.34
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,568.94 / $2,568.94 / $2,568.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.41 / $406.33 / $719.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.82 / $391.39 / $3,339.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.75 / $485.44 / $2,769.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,343.00 / $3,339.00 / $5,838.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.49 / $403.42 / $720.03