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Arkansas rates for HCPCS 41872

Gingivoplasty Each Quadrant Specify

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$315.23 / $614.95 / $3,109.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.20 / $394.13 / $549.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,893.49 / $2,893.49 / $3,298.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.10 / $473.67 / $653.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.45 / $515.00 / $1,734.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.58 / $458.99 / $718.41
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,565.00 / $2,595.00 / $6,957.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.83 / $462.67 / $838.44