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Idaho rates for HCPCS 41872

Gingivoplasty, each quadrant (specify)

Facilitymedian $646 · 10th–90th $316–$5,7540%5%10th90th$646Professionalmedian $479 · 10th–90th $295–$9330%10%10th90th$479$50.0$200.0$1.0K$5.0K$20.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,466.84 / $5,495.41 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $436.52 / $933.25
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,000.00 / $3,162.28 / $8,317.64
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $676.08 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $489.78 / $794.33
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$302.00 / $501.19 / $1,047.13
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $602.56 / $1,023.29
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $33.11
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,754.40 / $7,585.78 / $10,232.93
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$478.63 / $645.65 / $954.99
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$346.74 / $501.19 / $5,128.61
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6,760.83 / $22,387.21 / $27,542.29
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$316.23 / $489.78 / $794.33