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Arizona rates for HCPCS D7111

Extraction Coronal Remnants-Primary Tooth

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.68 / $50.77 / $62.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.60 / $44.80 / $56.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.68 / $57.69 / $109.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.42 / $352.42 / $352.42