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California rates for HCPCS 41822

Excision of fibrous tuberosities, dentoalveolar structures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$335.42 / $5,165.00 / $17,380.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.61 / $280.76 / $1,105.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,196.00 / $5,793.00 / $11,233.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.24 / $297.87 / $652.74
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.90 / $100.00 / $6,564.23
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.73 / $265.56 / $580.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$318.73 / $643.00 / $2,151.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.65 / $330.05 / $777.05
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.72 / $267.86 / $539.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.63 / $368.37 / $668.05
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,403.58 / $1,420.14
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,472.32 / $2,543.60 / $3,017.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $295.74
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.08 / $302.36 / $552.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.06 / $375.65 / $856.80
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.45 / $650.45 / $1,151.75
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.62 / $270.36 / $499.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$740.00 / $3,964.00 / $9,131.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.82 / $349.42 / $877.71