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Illinois rates for HCPCS 41870

Periodontal Mucosal Grafting

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$624.00 / $1,882.00 / $5,389.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.52 / $324.37 / $452.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$897.18 / $2,115.44 / $2,702.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.31 / $785.00 / $1,279.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.27 / $430.15 / $660.83
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.56 / $349.97 / $1,158.58
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$259.97 / $266.02 / $291.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.83 / $169.40 / $2,500.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$815.00 / $2,588.00 / $4,780.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.68 / $421.15 / $691.22