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New Hampshire rates for HCPCS 41872

Gingivoplasty Each Quadrant Specify

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $924.92 / $2,331.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.37 / $381.41 / $585.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,449.90 / $1,611.00 / $2,875.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.36 / $544.38 / $903.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.65 / $662.14 / $1,287.32
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.78 / $729.42 / $1,477.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$972.00 / $4,574.00 / $11,155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$408.56 / $690.82 / $1,306.73
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.74 / $332.84 / $434.15