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North Carolina rates for HCPCS 41870

Periodontal Mucosal Grafting

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.04 / $4,376.00 / $7,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$289.41 / $302.83 / $365.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,506.47 / $1,657.11 / $2,812.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.93 / $573.98 / $882.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.31 / $675.44 / $1,274.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.16 / $447.19 / $783.85
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.04 / $382.17 / $513.23
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.00 / $749.71 / $2,016.98
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $399.10 / $477.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.00 / $650.00 / $4,824.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.85 / $357.14 / $810.72
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,704.90 / $3,728.65
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,185.92 / $2,185.92 / $2,619.44