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Oregon rates for HCPCS 41872

Gingivoplasty Each Quadrant Specify

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$596.30 / $1,054.33 / $7,920.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.44 / $475.49 / $1,279.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$593.10 / $593.10 / $1,664.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.27 / $665.89 / $1,260.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$589.08 / $823.25 / $1,170.85
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.43 / $650.25 / $1,044.75
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.44 / $638.72 / $1,137.60
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$462.00 / $780.88 / $952.07
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.43 / $704.70 / $1,217.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.04 / $801.46 / $1,217.64
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,382.73 / $10,185.20 / $12,751.18
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.91 / $863.17 / $1,248.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,151.00 / $15,055.00 / $24,231.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$600.60 / $858.94 / $1,470.09