go back

Unlisted Procedure Of The Mouth Vestibule

Pennsylvania rates for HCPCS 40899

Covers an operation on the vestibule of the mouth, the space between the lips or cheeks and the gums and teeth, that has no standard named entry of its own. The surgeon submits a written report describing exactly what was done so the service can be reviewed and priced.

Facilitymedian $6,026 · 10th–90th $1,072$9,5500%10%10th90th$6,026Professionalmedian $6,166 · 10th–90th $1,413$64,5650%20%10th90th$6,166$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,148.15
Median
$6,165.95
Typical High
$9,549.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,659.59
Typical High
$6,165.95
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$1,174.90
Median
$1,258.93
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$54,954.09
Median
$64,565.42
Typical High
$64,565.42
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$4,786.30
Typical High
$8,709.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,584.89
Typical High
$6,165.95
United
Setting
Facility
Modifier
Global
Typical Low
$354.81
Median
$676.08
Typical High
$3,890.45