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North Carolina rates for HCPCS 40845

Vestibuloplasty; complex (including ridge extension, muscle repositioning)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,445.44 / $2,290.87 / $11,481.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,479.11 / $3,981.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $2,041.74 / $3,890.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $2,041.74 / $3,467.37
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,174.90 / $1,737.80 / $2,691.53
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $2,290.87 / $3,890.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $12,302.69 / $19,054.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,621.81 / $3,019.95
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,595.87 / $16,595.87 / $42,657.95
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10,715.19 / $10,715.19 / $12,589.25