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Indiana 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
$288.40 / $1,862.09 / $5,623.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $4,265.80 / $8,317.64
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $263.03 / $302.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $363.08 / $363.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $2,137.96 / $5,754.40