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Massachusetts rates for HCPCS 41872

Gingivoplasty Each Quadrant Specify

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$270.37 / $2,663.12 / $3,693.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.37 / $381.41 / $585.28
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.67 / $2,123.69 / $7,250.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.29 / $787.60 / $3,388.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$374.19 / $480.83 / $857.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$576.25 / $814.13 / $1,206.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$609.04 / $680.00 / $766.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.13 / $640.80 / $1,242.41
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.00 / $511.73 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.29 / $715.11 / $1,019.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.43 / $844.64 / $1,289.22
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,324.00 / $9,849.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$418.40 / $1,099.09 / $3,388.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,591.00 / $4,006.00 / $10,764.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.68 / $654.80 / $1,558.14