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Louisiana rates for HCPCS 41872

Gingivoplasty Each Quadrant Specify

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$443.91 / $2,082.00 / $3,779.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.00 / $433.90 / $670.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,045.03 / $4,081.90 / $6,007.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.64 / $485.87 / $731.85
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $289.29 / $331.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$477.31 / $510.73 / $815.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.54 / $484.79 / $811.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$968.00 / $4,717.00 / $10,959.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.14 / $476.55 / $878.49