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Kansas rates for HCPCS 41872

Gingivoplasty Each Quadrant Specify

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.26 / $7,365.00 / $13,151.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.50 / $490.22 / $788.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,036.00 / $1,450.76 / $2,599.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.97 / $331.97 / $544.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$914.00 / $1,260.00 / $1,260.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.54 / $455.43 / $739.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.25 / $475.49 / $1,200.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.20 / $646.87 / $3,487.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,967.00 / $4,960.00 / $11,732.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.04 / $520.80 / $899.24