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Illinois rates for HCPCS 41872

Gingivoplasty, each quadrant (specify)

Facilitymedian $2,818 · 10th–90th $447–$8,5110%5%10%10th90th$2,818Professionalmedian $447 · 10th–90th $282–$8510%10%10th90th$447$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
$446.68 / $1,862.09 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $436.52 / $812.83
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$776.25 / $4,677.35 / $6,025.60
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$524.81 / $537.03 / $812.83
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $588.84 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $467.74 / $851.14
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $691.83 / $1,621.81
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $380.19 / $630.96
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $676.08
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,238.72 / $5,248.07 / $11,481.54
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $416.87 / $776.25