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Indiana rates for HCPCS 41874

Alveoloplasty, each quadrant (specify)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.86 / $2,318.00 / $16,233.27
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$800.00 / $5,757.57 / $8,388.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.74 / $297.36 / $474.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$356.77 / $356.77 / $761.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,027.00 / $5,242.00