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Indiana rates for HCPCS 41872

Gingivoplasty, each quadrant (specify)

Facilitymedian $7,762 · 10th–90th $603–$10,4710%10%10th90th$7,762Professionalmedian $427 · 10th–90th $275–$7240%10%10th90th$427$200.0$500.0$1.0K$2.0K$5.0K$10.0K

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
$331.13 / $2,344.23 / $7,413.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $436.52 / $741.31
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,265.80 / $8,912.51 / $11,220.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $354.81 / $616.60
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $309.03 / $346.74
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $263.03 / $263.03
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$457.09 / $512.86 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $436.52 / $741.31
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,818.38 / $9,549.93 / $18,197.01
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $371.54 / $616.60