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Indiana rates for HCPCS 41870

Periodontal Mucosal Grafting

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.63 / $2,318.00 / $7,212.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.81 / $304.18 / $417.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.00 / $5,757.57 / $8,240.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.50 / $410.00 / $565.79
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.70 / $355.21 / $26,999.73
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.24 / $327.89 / $409.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.31 / $761.00 / $881.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.00 / $360.00 / $541.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$900.00 / $3,817.00 / $5,402.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.70 / $333.41 / $573.57