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Georgia rates for HCPCS 41874

Alveoloplasty Each Quadrant Specify

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.43 / $2,987.00 / $6,915.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$572.89 / $2,155.98 / $4,875.60
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$500.52 / $500.52 / $500.52
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$301.30 / $512.00 / $703.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.33 / $439.83 / $701.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.00 / $2,307.00 / $5,272.00