go back

Louisiana rates for HCPCS 41874

Alveoloplasty, each quadrant (specify)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$387.74 / $1,273.00 / $3,500.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,045.03 / $4,646.10 / $6,948.45
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.72 / $2,952.14 / $2,952.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.85 / $488.00 / $815.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$470.00 / $1,429.00 / $4,010.00