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Hawaii rates for HCPCS 41872

Gingivoplasty, each quadrant (specify)

Facilitymedian $2,818 · 10th–90th $2,818–$2,8840%50%100%90th$2,818Professionalmedian $427 · 10th–90th $282–$6920%10%10th90th$427$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $2,818.38 / $2,818.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $426.58 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $501.19 / $1,380.38
HMSA
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $562.34 / $645.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $562.34 / $724.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,884.03 / $2,884.03 / $2,884.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $416.87 / $660.69
University Health Alliance
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$85.11 / $380.19 / $676.08