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Idaho rates for HCPCS 40816

Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,628.00 / $4,500.00 / $7,205.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.14 / $584.87 / $1,172.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.04 / $559.21 / $697.51
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$396.44 / $671.63 / $1,172.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.62 / $597.12 / $784.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $558.62 / $702.78
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,040.66 / $7,582.86 / $9,755.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$570.26 / $614.04 / $810.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,550.00 / $6,486.14 / $12,233.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.23 / $588.98 / $877.46