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Alaska rates for HCPCS 41870

Periodontal Mucosal Grafting

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,328.00 / $8,303.41 / $13,413.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.04 / $329.48 / $1,610.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.72 / $459.71 / $993.93
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.74 / $1,610.20 / $2,302.59
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.60 / $416.58 / $416.58
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$799.89 / $1,403.20 / $2,272.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$305.74 / $1,610.20 / $2,302.59
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$434.95 / $1,315.50 / $1,955.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.88 / $795.62 / $2,193.27