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Massachusetts rates for HCPCS 41870

Periodontal Mucosal Grafting

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.45 / $2,618.00 / $3,625.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.67 / $309.45 / $395.06
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$362.05 / $1,704.90 / $5,047.31
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.83 / $562.04 / $2,185.92
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.35 / $1,620.25 / $1,620.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$680.00 / $748.00 / $1,463.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$306.44 / $512.13 / $962.29
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $3,504.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.37 / $412.37 / $485.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.88 / $747.91 / $965.77
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,329.00 / $4,755.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.80 / $571.95 / $2,185.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$669.00 / $2,338.00 / $4,952.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.51 / $458.56 / $988.56