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Missouri rates for HCPCS 41872

Gingivoplasty Each Quadrant Specify

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$434.12 / $4,261.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.77 / $426.84 / $569.42
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,114.00 / $4,050.00 / $9,663.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.12 / $378.38 / $635.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,530.00 / $2,530.00 / $2,530.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.02 / $455.89 / $792.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$285.31 / $482.11 / $1,073.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$403.51 / $864.97 / $3,487.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$464.26 / $4,000.00 / $6,980.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.27 / $581.12 / $1,034.33