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North Carolina rates for HCPCS 41874

Alveoloplasty Each Quadrant Specify

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.60 / $3,364.93 / $21,385.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$309.36 / $434.83 / $575.00
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.32 / $377.99 / $605.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$393.00 / $661.00 / $4,824.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,730.22 / $2,116.15