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Pennsylvania 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
$428.71 / $2,747.00 / $8,017.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.52 / $372.11 / $566.59
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,800.00 / $7,463.00 / $11,048.00
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.95 / $409.85 / $409.85
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.20 / $454.39 / $730.17
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.60 / $630.48 / $644.47
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,178.52 / $1,178.52 / $6,850.20
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$934.00 / $3,389.00 / $8,017.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$297.07 / $419.49 / $945.02
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $380.30 / $1,064.70
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.80 / $464.43 / $750.06
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$294.92 / $312.97 / $390.40
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.80 / $383.45 / $418.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,175.00 / $2,824.00 / $5,678.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.83 / $493.91 / $778.28