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Illinois rates for HCPCS 41874

Alveoloplasty Each Quadrant Specify

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.38 / $1,060.13 / $4,634.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$986.42 / $3,887.73 / $5,652.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.00 / $517.99 / $908.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.97 / $539.21 / $762.22
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,704.51 / $4,636.00