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Delaware rates for HCPCS 41870

Periodontal Mucosal Grafting

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,949.00 / $3,949.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.83 / $309.58 / $429.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$721.24 / $721.24 / $2,151.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.08 / $347.21 / $552.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$414.00 / $1,320.00 / $1,320.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.75 / $339.39 / $706.07