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North Dakota rates for HCPCS 41874

Alveoloplasty, each quadrant (specify)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.26 / $398.26 / $2,000.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.26 / $406.30 / $762.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$681.00 / $681.00 / $681.00