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Montana rates for HCPCS 40814

Excision of lesion of mucosa and submucosa, vestibule of mouth; with complex repair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.62 / $371.87 / $783.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.98 / $447.98 / $587.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$447.98 / $447.98 / $447.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.28 / $521.47 / $655.91
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.87 / $627.90 / $702.08
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.37 / $451.31 / $655.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.35 / $631.03 / $1,038.76