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Iowa rates for HCPCS 40818

Excision of mucosa of vestibule of mouth as donor graft

Facilitymedian $1,950 · 10th–90th $562–$6,0260%10%10th90th$1,950Professionalmedian $661 · 10th–90th $347–$9770%10%10th90th$661$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$446.68 / $2,511.89 / $6,760.83
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $549.54 / $831.76
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $831.76 / $1,862.09
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$630.96 / $794.33 / $1,000.00
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $1,412.54 / $2,344.23