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Arizona rates for HCPCS 40818

Excision of mucosa of vestibule of mouth as donor graft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.00 / $2,685.00 / $5,506.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$438.60 / $1,640.88 / $2,700.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$503.01 / $503.01 / $503.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.39 / $366.03 / $1,234.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.00 / $1,535.00 / $2,175.00