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Indiana rates for HCPCS 41872

Gingivoplasty Each Quadrant Specify

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$296.30 / $508.33 / $7,692.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.47 / $416.72 / $579.32
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.00 / $5,757.57 / $8,240.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.18 / $320.39 / $530.19
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.37 / $361.88 / $578.91
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.61 / $508.33 / $635.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$461.68 / $461.68 / $761.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.55 / $422.77 / $721.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,529.00 / $9,550.00 / $15,750.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.58 / $439.54 / $779.72