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North Dakota rates for HCPCS 41870

Periodontal mucosal grafting

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $302.00 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $323.59 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $562.34 / $851.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $426.58 / $575.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $478.63 / $2,238.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $3,019.95 / $5,128.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $398.11 / $602.56