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Louisiana rates for HCPCS 41870

Periodontal mucosal grafting

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.69 / $1,659.59 / $4,168.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $331.13 / $478.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,348.96 / $3,235.94 / $6,760.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $446.68 / $630.96
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $630.96 / $630.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $676.08 / $977.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $398.11 / $660.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.74 / $1,412.54 / $3,981.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $346.74 / $562.34