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Maryland rates for HCPCS 41822

Excision of fibrous tuberosities, dentoalveolar structures

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $316.23 / $549.54
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $204.17 / $295.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $275.42 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $316.23 / $575.44
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $436.52 / $588.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $524.81 / $1,318.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $288.40 / $549.54
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $467.74 / $575.44