go back

Minnesota rates for HCPCS 41870

Periodontal Mucosal Grafting

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.76 / $286.76 / $2,525.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.67 / $300.52 / $511.52
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$687.14 / $2,458.81 / $5,419.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.93 / $215.67 / $216.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$679.59 / $1,060.66 / $2,551.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.47 / $958.82 / $1,318.26
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.91 / $967.92 / $2,009.10
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$531.47 / $874.77 / $1,205.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$299.63 / $484.62 / $3,307.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.57 / $658.34 / $2,251.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,224.00 / $3,500.00 / $6,361.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.77 / $610.23 / $1,186.39