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Arizona rates for HCPCS 41870

Periodontal Mucosal Grafting

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,582.00 / $3,008.00 / $6,483.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.27 / $312.20 / $429.62
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.79 / $2,362.71 / $4,140.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.21 / $573.80 / $800.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$558.95 / $739.14 / $1,211.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.94 / $355.95 / $659.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.81 / $356.81 / $2,017.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.99 / $341.28 / $2,251.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$966.00 / $2,517.00 / $4,486.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.88 / $326.20 / $595.54