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Illinois 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
$471.00 / $1,609.00 / $5,389.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.39 / $373.85 / $685.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,903.11 / $4,293.41 / $6,005.27
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.18 / $485.90 / $624.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.00 / $620.00 / $643.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.27 / $462.23 / $686.24
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.56 / $541.04 / $955.68
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.40 / $351.68 / $497.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $574.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$930.00 / $3,951.00 / $6,625.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$385.40 / $565.67 / $888.19