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Arizona rates for HCPCS 41872

Gingivoplasty Each Quadrant Specify

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $4,474.00 / $7,960.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.01 / $411.24 / $689.31
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.79 / $2,362.71 / $4,140.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.31 / $431.43 / $602.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.91 / $387.33 / $634.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.16 / $405.04 / $729.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.93 / $438.93 / $883.01
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.00 / $508.94 / $3,487.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,350.00 / $6,230.00 / $9,010.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.80 / $435.88 / $848.43