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Oklahoma rates for HCPCS 41874

Alveoloplasty, each quadrant (specify)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$625.00 / $2,923.00 / $7,500.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,436.64 / $5,375.10 / $8,386.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.66 / $408.22 / $1,725.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.00 / $1,990.00 / $4,012.00