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Virginia 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
$340.65 / $3,633.00 / $8,294.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.81 / $406.07 / $674.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,060.00 / $3,693.00 / $4,290.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.58 / $375.05 / $553.59
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.82 / $445.90 / $5,895.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.98 / $444.30 / $795.34
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.92 / $428.30 / $528.24
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$340.65 / $459.70 / $672.54
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$455.00 / $539.00 / $782.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.72 / $399.11 / $3,512.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.81 / $494.81 / $3,512.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,349.00 / $7,061.00 / $12,739.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.64 / $485.85 / $828.94