go back

Maine rates for HCPCS 41850

Destruction Lesion Dentoalveolar Structures

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.19 / $145.77 / $157.78
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.88 / $148.54 / $206.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.16 / $138.16 / $699.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.07 / $180.22 / $306.88
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$136.63 / $175.98 / $275.38
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.19 / $145.77 / $157.78
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.59 / $171.98 / $255.89