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Ohio rates for HCPCS 41872

Gingivoplasty Each Quadrant Specify

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.22 / $1,237.92 / $11,627.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.47 / $435.90 / $734.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.00 / $2,118.00 / $8,800.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$210.08 / $316.11 / $569.67
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.06 / $343.27 / $424.86
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.58 / $472.53 / $558.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.03 / $510.73 / $700.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.77 / $448.92 / $768.35
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.03 / $510.73 / $581.00
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.37 / $464.81 / $767.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.81 / $420.69 / $654.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.00 / $6,227.00 / $9,483.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.60 / $485.80 / $882.90