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Maine rates for HCPCS 41823

Excision of osseous tuberosities, dentoalveolar structures

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $489.78 / $891.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $588.84 / $1,000.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$616.60 / $616.60 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $602.56 / $1,148.15
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $812.83 / $1,513.56
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $616.60 / $1,288.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $602.56 / $1,122.02