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Idaho rates for HCPCS 41822

Excision of fibrous tuberosities, dentoalveolar structures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,407.00 / $4,500.00 / $7,045.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.67 / $372.14 / $1,024.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$224.82 / $346.06 / $601.34
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.41 / $468.60 / $1,024.58
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.36 / $492.96 / $690.92
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $549.59
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,734.94 / $3,429.20 / $4,629.45
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.42 / $464.25 / $711.82
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,450.00 / $6,124.00 / $7,609.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.36 / $414.97 / $649.14