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Arizona rates for HCPCS 40899

Unlisted Procedure Vestibule Mouth

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
$921.00 / $3,585.00 / $4,474.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.80 / $1,640.88 / $2,700.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$108.00 / $144.00 / $180.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.00 / $1,423.00 / $2,057.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$704.00 / $1,535.00 / $2,175.00