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Maine rates for HCPCS 41874

Alveoloplasty, each quadrant (specify)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $305.30 / $11,977.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.81 / $419.81 / $699.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.45 / $11,977.80