go back

West Virginia rates for HCPCS 41872

Gingivoplasty, each quadrant (specify)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$288.40 / $446.68 / $1,412.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $426.58 / $630.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $316.23 / $380.19
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $338.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.67 / $512.86 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $446.68 / $1,258.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $3,548.13 / $9,332.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $363.08 / $575.44