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Tennessee rates for HCPCS 41872

Gingivoplasty Each Quadrant Specify

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.72 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.68 / $416.72 / $646.79
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,565.00 / $3,457.00 / $5,878.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.38 / $455.83 / $772.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$433.48 / $510.73 / $2,277.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.80 / $434.07 / $741.24
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $2,123.69 / $2,157.17
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,226.96 / $3,388.88 / $4,011.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,409.00 / $4,937.00 / $10,111.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.96 / $485.80 / $904.69