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Oregon rates for HCPCS 41870

Periodontal Mucosal Grafting

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,747.00 / $6,072.60 / $15,341.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.27 / $328.51 / $467.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,131.80 / $1,131.80 / $1,664.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.00 / $591.65 / $849.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.99 / $640.17 / $792.72
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.90 / $548.97 / $779.34
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$644.98 / $1,167.16 / $1,967.04
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.67 / $593.24 / $619.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$390.53 / $586.79 / $884.56
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.94 / $651.87 / $905.21
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,786.71 / $5,069.89 / $6,839.08
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.52 / $721.96 / $902.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,472.00 / $4,880.00 / $7,233.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.51 / $613.91 / $959.35