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Minnesota rates for HCPCS 41872

Gingivoplasty Each Quadrant Specify

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.73 / $460.89 / $460.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.01 / $426.84 / $788.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,253.47 / $5,064.68 / $11,441.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.33 / $1,029.78 / $1,666.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,079.07 / $1,684.15 / $4,051.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$601.28 / $1,170.22 / $2,028.62
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$935.11 / $1,484.87 / $3,190.13
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$656.50 / $1,047.23 / $1,849.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$325.68 / $632.83 / $1,338.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.55 / $1,126.89 / $3,487.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,960.00 / $7,872.00 / $11,531.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.67 / $892.00 / $1,785.91