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Pennsylvania 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
$144.54 / $234.42 / $489.78
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $331.13 / $416.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $239.88 / $426.58
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $363.08 / $398.11
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $275.42 / $407.38
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $263.03 / $616.60
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $426.58 / $588.84
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $151.36 / $407.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $239.88 / $407.38