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New Mexico rates for HCPCS 41872

Gingivoplasty Each Quadrant Specify

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$321.52 / $7,838.38 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.47 / $427.27 / $659.05
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$408.11 / $408.11 / $510.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.52 / $491.97 / $758.62
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $130.89 / $702.55
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.26 / $388.38 / $571.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$336.55 / $539.38 / $992.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,705.00 / $11,259.00 / $12,494.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.40 / $581.40 / $929.83