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Minnesota rates for HCPCS 40899

Unlisted Procedure Vestibule Mouth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,398.00 / $6,781.00 / $9,768.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,616.00 / $2,616.00 / $2,843.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.13 / $561.60 / $987.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.00 / $1,438.00 / $2,720.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$563.00 / $1,749.00 / $2,883.00