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Missouri rates for HCPCS 41870

Periodontal Mucosal Grafting

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.00 / $3,214.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.52 / $323.69 / $429.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.00 / $4,050.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.76 / $360.39 / $572.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,530.00 / $2,530.00 / $2,530.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.63 / $404.17 / $630.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.81 / $395.87 / $1,704.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.88 / $495.71 / $2,251.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.00 / $2,332.00 / $3,041.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.86 / $433.73 / $817.73