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North Carolina rates for HCPCS 41872

Gingivoplasty Each Quadrant Specify

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.17 / $418.19 / $1,245.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.64 / $418.03 / $594.36
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.18 / $356.60 / $605.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.06 / $533.58 / $882.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$353.96 / $510.73 / $667.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.33 / $491.59 / $945.11
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.00 / $433.90 / $659.58
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.36 / $467.91 / $1,130.07
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.20 / $297.20 / $999.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,461.00 / $2,050.00 / $15,712.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.87 / $462.67 / $1,069.63
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,123.69 / $2,123.69
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,226.96 / $3,388.88 / $4,011.23