go back

Iowa rates for HCPCS 41870

Periodontal Mucosal Grafting

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,906.00 / $4,778.89 / $7,119.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.27 / $332.26 / $511.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.16 / $640.74 / $864.80
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.20 / $348.87 / $854.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$359.04 / $687.51 / $3,804.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.42 / $604.98 / $2,251.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$497.00 / $746.37 / $1,300.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.00 / $598.58 / $777.16
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $350.40 / $522.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,770.00 / $4,663.00 / $7,305.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.80 / $486.51 / $931.60
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,170.23 / $1,481.30 / $1,481.30