go back

Maine rates for HCPCS 41870

Periodontal mucosal grafting

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $316.23 / $467.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $446.68 / $691.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $407.38 / $741.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $524.81 / $912.01
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $323.59 / $457.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $426.58 / $691.83