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Rhode Island rates for HCPCS 40816

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

Facilitymedian $3,981 · 10th–90th $2,089$7,4130%10%20%10th90th$3,981Professionalmedian $417 · 10th–90th $324$6610%10%10th90th$417$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,089.30 / $2,754.23 / $3,981.07
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $416.87 / $602.56
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $407.38 / $660.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$229.09 / $457.09 / $724.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $4,570.88 / $7,585.78
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $436.52 / $691.83