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West Virginia rates for HCPCS 41874

Alveoloplasty, each quadrant (specify)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.96 / $366.31 / $1,400.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.92 / $261.81 / $312.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$419.81 / $419.81 / $419.81