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Michigan rates for HCPCS 41870

Periodontal mucosal grafting

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $323.59 / $446.68
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $234.42 / $2,089.30
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,995.26 / $2,089.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $389.05 / $812.83
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $2,884.03 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $338.84 / $467.74
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $346.74 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $2,884.03 / $5,623.41
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $380.19 / $524.81