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Massachusetts 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
$404.18 / $2,618.00 / $3,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$315.81 / $404.18 / $640.29
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.82 / $3,764.00 / $12,379.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.18 / $717.59 / $2,708.64
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$342.96 / $445.85 / $786.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.41 / $562.41 / $744.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.75 / $745.44 / $1,403.78
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$293.58 / $625.34 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.07 / $547.23 / $972.82
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.32 / $769.46 / $1,022.11
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $4,249.00 / $16,394.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.59 / $1,120.60 / $2,708.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,902.00 / $3,764.00 / $8,766.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.73 / $601.01 / $1,444.13