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Louisiana rates for HCPCS 41870

Periodontal Mucosal Grafting

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$483.81 / $1,520.00 / $3,685.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.64 / $424.81 / $483.81
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,163.19 / $3,094.58 / $6,781.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.11 / $452.07 / $636.72
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.66 / $632.66 / $632.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.31 / $525.00 / $910.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.93 / $402.58 / $618.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.00 / $1,429.00 / $4,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.44 / $373.80 / $633.02