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New Jersey rates for HCPCS 41872

Gingivoplasty, each quadrant (specify)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $6,456.54 / $11,748.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $426.58 / $831.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.86 / $512.86 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $457.09 / $1,000.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $707.95 / $1,047.13
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $10,000.00 / $16,595.87
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $478.63 / $870.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,890.45 / $8,709.64 / $21,379.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $371.54 / $758.58