go back

Nebraska rates for HCPCS 41872

Gingivoplasty Each Quadrant Specify

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$435.90 / $8,477.27 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.73 / $434.98 / $788.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,167.96 / $3,142.94 / $5,515.65
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.57 / $562.63 / $886.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.15 / $872.19 / $1,373.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.73 / $489.09 / $828.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.66 / $988.38 / $3,487.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.40 / $851.22 / $1,128.35
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.34 / $753.99 / $1,128.35
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $630.90 / $1,265.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,178.00 / $7,441.00 / $8,816.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$573.66 / $973.80 / $1,125.93