go back

North Dakota rates for HCPCS 41870

Periodontal Mucosal Grafting

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.52 / $300.52 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.76 / $300.52 / $377.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.93 / $619.20 / $936.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.52 / $426.77 / $594.70
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.35 / $551.29 / $2,251.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$681.00 / $681.00 / $681.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.12 / $540.72 / $777.21