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Pennsylvania rates for HCPCS 41874

Alveoloplasty Each Quadrant Specify

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$414.97 / $2,483.00 / $8,017.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,431.95 / $7,827.00 / $19,139.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$409.52 / $526.00 / $2,109.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.67 / $560.67 / $560.67
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,272.00 / $6,850.20 / $9,248.18
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$617.00 / $2,483.00 / $8,017.00
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$282.20 / $282.20 / $282.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$396.58 / $510.49 / $2,151.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$205.44 / $235.20 / $368.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.00 / $1,728.00 / $4,300.00