go back

Arizona rates for HCPCS 41822

Exc Fibrous Tuberosities Dentoalveolar Struxs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.00 / $2,771.00 / $6,305.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.97 / $291.70 / $527.05
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$412.80 / $1,541.29 / $2,700.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.37 / $311.97 / $452.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$214.52 / $283.68 / $464.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.29 / $305.93 / $558.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.47 / $329.28 / $660.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.20 / $392.23 / $2,621.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$966.00 / $2,517.00 / $4,486.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.66 / $336.93 / $645.39