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Missouri rates for HCPCS 40845

Vestibuloplasty; complex (including ridge extension, muscle repositioning)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,553.02 / $4,716.00 / $9,823.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,117.65 / $1,371.02 / $2,502.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,088.00 / $4,247.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,295.00 / $1,682.58 / $2,715.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,182.88 / $1,940.66 / $3,130.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,267.82 / $2,179.42 / $8,477.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,600.40 / $3,272.77 / $11,014.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,156.00 / $4,000.00 / $10,781.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,519.37 / $2,381.44 / $4,023.32