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Arkansas rates for HCPCS 41872

Gingivoplasty, each quadrant (specify)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $457.09 / $2,041.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $398.11 / $588.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $2,884.03 / $3,981.07
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $426.58 / $660.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $562.34 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $446.68 / $691.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,548.82 / $2,951.21 / $7,762.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $416.87 / $660.69