go back

New York rates for HCPCS 41870

Periodontal Mucosal Grafting

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,668.00 / $4,043.00 / $9,661.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.06 / $323.11 / $429.62
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,373.00 / $4,085.00 / $8,281.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.91 / $298.14 / $491.83
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.51 / $413.51 / $6,213.00
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$413.51 / $413.51 / $413.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.31 / $346.31 / $7,227.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.42 / $491.01 / $1,112.56
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.00 / $332.00 / $1,288.50
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.10 / $915.33 / $1,527.90
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.48 / $284.48 / $1,395.63
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.58 / $365.90 / $567.88
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.31 / $555.00 / $7,227.90
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.81 / $436.89 / $1,041.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,269.00 / $3,612.00 / $8,133.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.94 / $361.35 / $813.90
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$365.90 / $365.90 / $1,395.63
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.58 / $410.37 / $777.87