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Alaska rates for HCPCS D7111

Extraction, Coronal Remnants - Primary Tooth

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$78.48 / $78.48 / $78.48
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.48 / $109.89 / $112.24
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.22 / $40.22 / $57.48
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.00 / $186.00 / $203.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.48 / $109.89 / $112.24
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.22 / $186.00 / $2,250,000.00