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California rates for HCPCS 41874

Alveoloplasty, each quadrant (specify)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$427.44 / $5,178.00 / $17,380.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,196.00 / $5,793.00 / $11,233.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.90 / $100.00 / $9,276.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.30 / $643.00 / $2,151.00
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.73 / $331.97 / $594.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.37 / $417.31 / $743.24
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,730.22 / $2,116.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.79 / $396.24 / $622.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$740.00 / $3,964.00 / $9,131.00