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Tennessee rates for HCPCS 41874

Alveoloplasty, each quadrant (specify)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.67 / $2,303.00 / $6,305.47
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,565.00 / $3,395.00 / $5,774.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$334.98 / $500.00 / $2,277.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,730.22 / $2,116.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $2,260.00 / $4,099.00