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Maryland rates for HCPCS 41870

Periodontal Mucosal Grafting

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.39 / $352.39 / $452.57
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$464.55 / $464.55 / $636.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$582.00 / $693.21 / $1,164.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.00 / $375.23 / $659.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.83 / $370.79 / $623.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$418.00 / $453.00 / $1,330.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.95 / $346.71 / $619.25
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00