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Illinois rates for HCPCS 41872

Gingivoplasty Each Quadrant Specify

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$451.11 / $813.00 / $5,389.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.55 / $431.76 / $676.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,261.92 / $4,225.80 / $6,088.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$525.28 / $533.76 / $808.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $591.69 / $908.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.20 / $494.32 / $812.22
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.89 / $656.59 / $1,436.08
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$366.83 / $380.17 / $632.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $714.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,300.00 / $5,820.00 / $12,241.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$370.14 / $553.15 / $972.70