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Vermont rates for HCPCS 41872

Gingivoplasty, each quadrant (specify)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $398.11 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $524.81 / $1,737.80
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $575.44 / $1,148.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $446.68 / $1,023.29