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Maryland rates for HCPCS 40831

Closure of laceration, vestibule of mouth; over 2.5 cm or complex

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.47 / $304.47 / $514.13
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.55 / $227.73 / $260.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.68 / $337.98 / $741.36
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.43 / $399.16 / $729.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.05 / $398.82 / $721.45
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.33 / $355.84 / $440.10