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Arizona rates for HCPCS 40845

Vestibuloplasty; complex (including ridge extension, muscle repositioning)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,965.00 / $4,521.00 / $7,963.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,119.81 / $1,366.69 / $6,359.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$944.35 / $3,532.98 / $5,814.97
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,299.26 / $1,593.86 / $1,983.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,374.52 / $5,374.52 / $5,374.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,193.40 / $1,594.86 / $2,743.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,187.00 / $1,563.06 / $6,612.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,310.17 / $1,894.50 / $11,014.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,613.00 / $6,477.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,296.06 / $1,599.79 / $3,252.55