go back

South Carolina rates for HCPCS 41870

Periodontal Mucosal Grafting

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$364.08 / $7,182.00 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.63 / $354.97 / $365.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,600.00 / $5,636.00 / $9,815.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$375.00 / $615.00 / $866.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.00 / $407.53 / $772.17
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.04 / $373.93 / $568.62
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.67 / $740.04 / $2,016.98
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $55.00 / $3,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.00 / $6,172.00 / $8,667.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.25 / $363.99 / $724.13