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Maine rates for HCPCS 41872

Gingivoplasty Each Quadrant Specify

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.73 / $388.65 / $543.66
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.36 / $485.87 / $746.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$510.73 / $510.73 / $699.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.45 / $571.40 / $960.04
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.99 / $585.74 / $1,039.63
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.64 / $411.24 / $745.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.10 / $542.90 / $982.94