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South Carolina rates for HCPCS 40814

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

Facilitymedian $5,012 · 10th–90th $407–$10,2330%5%10th90th$5,012Professionalmedian $380 · 10th–90th $275–$6760%10%20%10th90th$380$50.0$200.0$1.0K$5.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$436.52 / $6,025.60 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $380.19 / $676.08
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $3,801.89 / $7,079.46
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $363.08 / $562.34
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$501.19 / $1,778.28 / $2,290.87
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $426.58 / $724.44
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$323.59 / $457.09 / $891.25
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $10,232.93 / $16,595.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $398.11 / $676.08