Excision of mucosa of vestibule of mouth as donor graft
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
Facility/Professional
Modifier
Typical Low
Median
Typical High
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $2,754.23 / $8,912.51
Facility
$446.68
$2,754.23
$8,912.51
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,584.89 / $3,715.35 / $9,549.93
Facility
$1,584.89
$3,715.35
$9,549.93
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $1,174.90 / $3,235.94
Facility
$371.54
$1,174.90
$3,235.94
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $1,096.48 / $3,311.31
Facility
$338.84
$1,096.48
$3,311.31
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