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Kentucky rates for HCPCS 41870

Periodontal Mucosal Grafting

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.24 / $1,486.00 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.83 / $302.83 / $377.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,014.00 / $8,584.00 / $11,253.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.50 / $416.97 / $607.39
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.62 / $392.03 / $452.24
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.02 / $392.03 / $630.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.31 / $346.31 / $346.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.58 / $359.60 / $599.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $250.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.00 / $794.00 / $5,301.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.36 / $390.24 / $617.40