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Michigan 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
$357.69 / $2,877.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.62 / $357.69 / $467.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,886.06 / $2,201.60 / $2,999.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.06 / $268.60 / $451.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.61 / $391.05 / $580.73
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.85 / $2,877.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$345.22 / $384.85 / $616.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.28 / $313.20 / $466.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,524.00 / $5,819.00 / $8,339.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.28 / $509.39 / $635.03