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Iowa rates for HCPCS 41872

Gingivoplasty Each Quadrant Specify

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,964.00 / $6,066.00 / $7,119.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.73 / $490.22 / $828.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.70 / $719.73 / $1,154.90
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.00 / $569.57 / $1,074.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.04 / $701.77 / $4,698.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.90 / $873.07 / $3,487.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$554.63 / $680.02 / $1,128.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$508.32 / $749.69 / $1,154.90
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $736.60 / $1,265.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,770.00 / $7,487.00 / $11,732.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$439.54 / $672.80 / $1,261.50
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.40 / $720.40 / $1,072.90