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Tennessee rates for HCPCS 41870

Periodontal Mucosal Grafting

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$607.40 / $2,311.00 / $6,681.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.08 / $342.41 / $434.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$888.00 / $2,090.00 / $2,906.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.58 / $403.34 / $641.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.00 / $827.20 / $2,277.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.74 / $388.65 / $631.29
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $3,728.65 / $3,728.65
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,185.92 / $2,251.36 / $2,619.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $2,257.00 / $4,099.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.36 / $395.64 / $653.73