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Texas rates for HCPCS 41870

Periodontal mucosal grafting

Facilitymedian $1,995 · 10th–90th $331$6,1660%5%10%10th90th$1,995Professionalmedian $331 · 10th–90th $251$5250%20%10th90th$331$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $3,162.28 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $331.13 / $501.19
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $173.78 / $173.78
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$537.03 / $870.96 / $1,122.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $398.11 / $645.65
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $56.23 / $3,715.35
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,630.27 / $2,630.27
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $426.58 / $2,511.89
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $331.13 / $524.81
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $169.82 / $190.55
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $346.74 / $575.44
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$288.40 / $380.19 / $645.65
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $398.11 / $616.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$724.44 / $1,995.26 / $3,981.07
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$251.19 / $338.84 / $512.86
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $229.09 / $398.11