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Maryland rates for HCPCS 41872

Gingivoplasty Each Quadrant Specify

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.23 / $411.24 / $594.36
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.22 / $363.70 / $498.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.85 / $365.90 / $610.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.45 / $450.98 / $821.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$376.16 / $577.07 / $826.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,236.00 / $1,679.00 / $3,590.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.66 / $466.14 / $851.88
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$307.54 / $568.04 / $698.76