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Rhode Island rates for HCPCS 41872

Gingivoplasty Each Quadrant Specify

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,639.81 / $1,639.81 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$270.37 / $359.28 / $475.49
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.76 / $488.01 / $638.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.20 / $640.20 / $680.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.07 / $561.21 / $960.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,219.00 / $5,979.00 / $12,680.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.47 / $583.90 / $1,031.89