go back

Alaska rates for HCPCS 40844

Vestibuloplasty; entire arch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,383.82 / $9,577.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,186.27 / $6,840.61 / $7,918.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,906.74 / $3,906.74 / $4,788.35
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,429.03 / $7,733.22 / $10,826.51
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,890.98 / $7,507.50 / $9,818.70
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,779.00 / $6,143.85 / $9,652.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,429.03 / $7,733.22 / $10,826.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,177.81 / $5,666.25 / $8,752.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,465.00 / $3,887.86 / $7,969.50