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Arizona rates for HCPCS 41874

Alveoloplasty, each quadrant (specify)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.00 / $3,055.00 / $7,960.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$632.79 / $2,362.71 / $4,140.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.35 / $299.32 / $490.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.95 / $379.77 / $810.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$966.00 / $2,567.00 / $4,466.00