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Maine rates for HCPCS 41870

Periodontal Mucosal Grafting

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.11 / $364.44 / $394.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.20 / $376.88 / $598.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.31 / $346.31 / $699.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.58 / $421.14 / $666.17
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.53 / $441.15 / $690.32
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.11 / $364.44 / $394.65
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.49 / $468.00 / $609.72