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Texas rates for HCPCS 41874

Alveoloplasty Each Quadrant Specify

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$402.34 / $2,071.00 / $6,762.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.23 / $409.14 / $1,612.45
Baylor Scott & White
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.97 / $453.60 / $9,262.62
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.72 / $2,952.14 / $2,952.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$322.47 / $382.13 / $2,530.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $55.00 / $1,730.22
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.10 / $387.66 / $657.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$250.76 / $388.61 / $688.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$597.00 / $2,054.00 / $4,475.00