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Idaho rates for HCPCS 41870

Periodontal Mucosal Grafting

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,628.00 / $4,500.00 / $7,205.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.52 / $429.62 / $889.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.83 / $468.37 / $580.50
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.70 / $597.88 / $978.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $2,000.00 / $3,900.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,749.17 / $3,778.52 / $6,040.33
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.03 / $616.51 / $626.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,450.00 / $6,124.00 / $7,609.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.20 / $429.74 / $680.36