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Alaska rates for HCPCS 41872

Gingivoplasty Each Quadrant Specify

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$842.44 / $9,577.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.11 / $493.19 / $2,326.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.52 / $537.62 / $1,387.21
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.22 / $1,540.15 / $3,256.40
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$771.16 / $1,480.04 / $2,945.14
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$852.60 / $1,538.00 / $2,499.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.42 / $1,540.15 / $3,256.40
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.83 / $1,261.49 / $2,123.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.04 / $1,100.04 / $3,034.28