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Hawaii 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
$1,157.88 / $2,747.00 / $3,883.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.62 / $345.22 / $475.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.65 / $440.21 / $491.70
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.32 / $544.49 / $612.91
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.00 / $432.70 / $550.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $1,981.00 / $1,981.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.23 / $491.70 / $637.22
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.12 / $1,958.52 / $5,287.00