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Idaho rates for HCPCS 41872

Gingivoplasty Each Quadrant Specify

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.35 / $487.82 / $1,354.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$317.70 / $501.41 / $784.61
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.16 / $651.69 / $1,354.46
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$498.50 / $604.24 / $919.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $815.80
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,803.94 / $7,744.17 / $9,755.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$522.33 / $638.47 / $947.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,120.00 / $22,317.00 / $27,159.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.74 / $564.08 / $903.02