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Texas rates for HCPCS 40899

Unlisted procedure, vestibule of mouth

Facilitymedian $2,692 · 10th–90th $234–$11,2200%5%10th90th$2,692Professionalmedian $2,399 · 10th–90th $692–$11,2200%10%20%10th90th$2,399$50.0$200.0$1.0K$5.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,096.48 / $3,890.45 / $12,882.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $2,398.83 / $11,220.18
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $338.84 / $707.95
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $56.23 / $56.23
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,467.37 / $3,467.37 / $3,467.37
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $3,630.78 / $11,481.54
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$977.24 / $4,570.88 / $14,454.40
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $50.12
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$138.04 / $138.04 / $151.36
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $60.26 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$165.96 / $851.14 / $2,290.87