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Arkansas rates for HCPCS 41870

Periodontal mucosal grafting

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$758.58 / $1,445.44 / $2,454.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $323.59 / $457.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,412.54 / $1,412.54 / $1,949.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $562.34 / $2,511.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $398.11 / $524.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $1,288.25 / $4,365.16
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $354.81 / $562.34