go back

Ohio rates for HCPCS 41874

Alveoloplasty, each quadrant (specify)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$367.73 / $2,292.00 / $9,516.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.00 / $2,114.00 / $8,800.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.05 / $266.19 / $315.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.41 / $419.81 / $600.00
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$369.41 / $419.81 / $581.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.00 / $2,467.58 / $4,951.00