go back

Alaska rates for HCPCS 40830

Closure Laceration Vestibule Mouth 2.5 Cm/<

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.47 / $1,014.68 / $1,502.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.75 / $537.75 / $854.48
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.55 / $934.50 / $1,429.07
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.95 / $949.65 / $1,707.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.98 / $841.25 / $1,548.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$585.11 / $1,031.25 / $1,533.23