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Pennsylvania 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
$399.58 / $2,747.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.62 / $346.95 / $615.65
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,824.00 / $4,354.00 / $8,459.92
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.04 / $379.85 / $379.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.76 / $428.76 / $691.11
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.54 / $582.07 / $597.47
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,182.98 / $6,473.09 / $9,494.82
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.00 / $3,552.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.58 / $383.86 / $1,186.75
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $357.30 / $992.90
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.33 / $430.50 / $710.82
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$276.39 / $297.73 / $368.22
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.13 / $356.40 / $388.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,334.00 / $2,824.00 / $5,678.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.51 / $464.62 / $753.04