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Michigan rates for HCPCS 41870

Periodontal Mucosal Grafting

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.06 / $2,877.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.81 / $353.68 / $395.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.45 / $2,077.50 / $2,077.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.29 / $1,385.00 / $2,202.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.74 / $361.15 / $724.83
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.44 / $2,877.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.18 / $327.44 / $523.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.00 / $4,857.00 / $6,036.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.91 / $400.28 / $556.12