go back

Michigan rates for HCPCS 41872

Gingivoplasty, each quadrant (specify)

Facilitymedian $4,786 · 10th–90th $398–$5,4950%20%40%10th90th$4,786Professionalmedian $437 · 10th–90th $282–$6920%10%10th90th$437$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $4,786.30 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $426.58 / $645.65
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $93.33 / $93.33
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $691.83 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $426.58 / $891.25
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $1,096.48 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $457.09 / $812.83
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $398.11 / $630.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $5,754.40 / $10,715.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$281.84 / $416.87 / $676.08