go back

Pennsylvania 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
$201.11 / $289.24 / $370.57
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.89 / $301.86 / $471.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.89 / $329.30 / $541.16
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.45 / $464.22 / $477.05
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.28 / $300.16 / $715.37
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $247.70 / $833.90
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$228.55 / $336.47 / $569.79
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.28 / $265.08 / $309.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.13 / $394.39 / $677.17