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North Dakota rates for HCPCS 41872

Gingivoplasty Each Quadrant Specify

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.35 / $452.82 / $8,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.73 / $417.64 / $558.16
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$614.13 / $806.66 / $1,183.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.71 / $767.95 / $1,260.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.35 / $467.89 / $895.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.32 / $722.22 / $3,487.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,790.00 / $2,790.00 / $2,790.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.72 / $722.22 / $1,184.46