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Maine rates for HCPCS 41822

Excision of fibrous tuberosities, dentoalveolar structures

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $309.03 / $562.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $371.54 / $645.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $338.84 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $380.19 / $776.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $478.63 / $1,000.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $363.08 / $831.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $363.08 / $741.31