go back

West Virginia rates for HCPCS 41870

Periodontal Mucosal Grafting

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.36 / $307.36 / $1,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.08 / $307.36 / $365.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.32 / $321.32 / $392.22
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.64 / $348.64 / $348.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.31 / $346.31 / $346.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.47 / $407.20 / $833.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.35 / $344.27 / $559.88