go back

Nebraska rates for HCPCS 41874

Alveoloplasty Each Quadrant Specify

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$543.78 / $5,909.48 / $13,841.56
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,184.40 / $10,415.37 / $18,278.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.76 / $416.92 / $824.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$478.75 / $716.57 / $1,076.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,528.46 / $3,093.00 / $7,934.00