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Michigan rates for HCPCS 41874

Alveoloplasty Each Quadrant Specify

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$304.74 / $2,056.00 / $4,933.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$348.23 / $514.85 / $690.15
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.52 / $2,056.00 / $4,933.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.00 / $3,569.00 / $6,036.00