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Oklahoma rates for HCPCS 41870

Periodontal Mucosal Grafting

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,612.00 / $8,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.81 / $329.71 / $400.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.24 / $401.15 / $494.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$308.70 / $395.06 / $3,480.23
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.02 / $366.29 / $2,251.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.00 / $1,990.00 / $4,083.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.70 / $343.11 / $503.63