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Massachusetts rates for HCPCS 40816

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

Facilitymedian $2,570 · 10th–90th $363–$5,1290%5%10%10th90th$2,570Professionalmedian $468 · 10th–90th $309–$1,0470%10%10th90th$468$100.0$500.0$2.0K$10.0K$50.0K

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
$416.87 / $2,754.23 / $5,128.61
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $416.87 / $954.99
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $5,011.87 / $28,840.32
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $524.81 / $1,318.26
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$363.08 / $363.08 / $831.76
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $630.96 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$389.05 / $660.69 / $1,230.27
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$316.23 / $436.52 / $3,630.78
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$467.74 / $575.44 / $812.83
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,041.74 / $4,265.80 / $9,772.37
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $562.34 / $1,047.13
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$758.58 / $5,011.87 / $28,840.32
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $524.81 / $1,318.26
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,862.09 / $3,981.07 / $9,772.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $588.84 / $1,258.93