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Unlisted Procedure Of The Mouth Vestibule

Wisconsin 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.

Rates data updated July 2026.

How much does Unlisted Procedure Of The Mouth Vestibule cost?

$12,589

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $12,589 for this service. The price depends on where it is billed: about $50.12 from a physician practice, and about $12,882 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$50.12$33.11 to $70.79
FacilityA hospital or hospital-owned outpatient department$12,882$5,248 to $19,953

How much rates vary

Facilitymedian $12,882 · 10th to 90th $1,585 to $26,915Professionalmedian $50 · 10th to 90th $32 to $3,311
$100$1K$10Kfacility $12,882professional $50

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$9,332.54
Typical High
$17,782.79
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$13,803.84
Typical High
$30,199.52
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$2,238.72
Median
$2,818.38
Typical High
$5,370.32
Medica
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,445.44
Typical High
$2,089.30
Medica
Setting
Professional
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,311.31
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$50.12
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$933.25
Typical High
$2,344.23
Quartz
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
United
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,513.56
Typical High
$1,949.84

Where Wisconsin sits

The same service costs 97.7 times more in Wisconsin than in Maryland. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Wisconsin· 1st of 49

$12,589

WI $12,589MD $129

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.