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Delaware rates for HCPCS 41874

Alveoloplasty, each quadrant (specify)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.74 / $1,011.91 / $14,225.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$292.07 / $292.07 / $2,151.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$414.00 / $1,320.00 / $1,320.00