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Rhode Island rates for HCPCS 41870

Periodontal Mucosal Grafting

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,090.73 / $2,778.87 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.81 / $324.37 / $452.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.00 / $643.53 / $643.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$680.00 / $680.00 / $1,221.68
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.06 / $467.71 / $728.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,395.00 / $2,384.00 / $5,510.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.43 / $407.99 / $670.51