go back

Wisconsin rates for HCPCS 40830

Closure Laceration Vestibule Mouth 2.5 Cm/<

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.12 / $242.17 / $712.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.79 / $534.70 / $1,323.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.61 / $546.57 / $935.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.44 / $940.28 / $1,665.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.28 / $300.18 / $509.29
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.40 / $521.40 / $799.23
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.79 / $956.79 / $1,665.76
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$598.41 / $738.19 / $1,141.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.51 / $951.05 / $1,395.78