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Idaho 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
$1,628.00 / $5,846.41 / $7,205.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.45 / $554.01 / $1,094.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.47 / $529.45 / $669.57
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.46 / $629.29 / $1,094.56
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.60 / $558.29 / $727.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $519.19 / $653.16
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,040.66 / $7,582.86 / $9,755.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.33 / $575.45 / $744.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,550.00 / $12,152.00 / $12,233.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.00 / $512.54 / $831.47