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Minnesota rates for HCPCS 41870

Periodontal mucosal grafting

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $288.40 / $2,630.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $323.59 / $436.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $2,951.21 / $6,760.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $213.80 / $213.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $1,122.02 / $2,691.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $851.14 / $1,318.26
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $1,071.52 / $2,089.30
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $758.58 / $1,202.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $436.52 / $3,548.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $549.54 / $2,238.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $3,715.35 / $6,456.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $457.09 / $933.25