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Montana rates for HCPCS 41874

Alveoloplasty, each quadrant (specify)

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $77,999.99 / $94,999.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$385.94 / $385.94 / $385.94
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$256.23 / $391.87 / $672.98