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Alaska rates for HCPCS 41822

Excision of fibrous tuberosities, dentoalveolar structures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $5,888.44 / $14,125.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $346.74 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $371.54 / $1,071.52
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194.98 / $371.54 / $1,047.13
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $954.99 / $1,949.84
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $1,023.29 / $1,737.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $363.08 / $1,047.13
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $467.74 / $1,071.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $512.86 / $1,584.89