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Delaware rates for HCPCS 41872

Gingivoplasty Each Quadrant Specify

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,907.00 / $6,907.00 / $6,907.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.56 / $426.84 / $579.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.96 / $377.96 / $2,151.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$244.85 / $383.50 / $655.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,663.00 / $2,530.00 / $2,530.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.70 / $416.40 / $1,018.32