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Wisconsin rates for HCPCS 41870

Periodontal mucosal grafting

Facilitymedian $4,365 · 10th–90th $603$7,5860%10%10th90th$4,365Professionalmedian $355 · 10th–90th $282$1,0230%20%10th90th$355$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
$331.13 / $331.13 / $17,782.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $323.59 / $489.78
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $4,897.79 / $7,585.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $575.44 / $1,479.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$794.33 / $933.25 / $1,479.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $758.58 / $1,348.96
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $467.74 / $3,388.44
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $489.78 / $5,248.07
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$302.00 / $524.81 / $2,238.72
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $4,265.80 / $4,786.30
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,096.48 / $1,122.02 / $1,819.70
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$380.19 / $691.83 / $1,071.52
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$512.86 / $2,511.89 / $3,715.35
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $1,445.44 / $2,187.76
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $380.19 / $1,148.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $3,548.13 / $6,606.93
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $436.52 / $1,202.26