go back

Maine rates for HCPCS 41899

Unlisted Procedure Dentoalveolar Structures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$509.56 / $6,603.83 / $9,819.73
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$699.00 / $699.00 / $699.00
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,761.46 / $7,131.28 / $9,819.73