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Oklahoma rates for HCPCS 41872

Gingivoplasty Each Quadrant Specify

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.15 / $3,683.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.37 / $359.28 / $493.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,175.22 / $6,585.53 / $10,443.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.39 / $386.40 / $599.79
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.00 / $434.01 / $612.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.50 / $476.30 / $4,132.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.96 / $519.55 / $3,487.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,039.00 / $5,407.00 / $9,232.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$347.00 / $444.14 / $735.65