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Alaska rates for HCPCS 41874

Alveoloplasty Each Quadrant Specify

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$696.10 / $6,541.00 / $13,413.92
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$281.01 / $1,272.58 / $2,695.55
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.27 / $1,272.58 / $2,695.55