go back

Maine rates for HCPCS 40830

Closure of laceration, vestibule of mouth; 2.5 cm or less

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $251.19 / $457.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $245.47 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $295.12 / $512.86
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $288.40 / $446.68
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $281.84 / $562.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $288.40 / $478.63