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California rates for HCPCS D7111

Extraction Coronal Remnants-Primary Tooth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.78 / $45.67 / $45.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.32 / $42.78 / $50.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.99 / $51.78 / $61.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $1,054.80 / $2,572.80
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.00 / $40.00 / $98.04
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,251.48 / $1,251.48 / $1,314.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.93 / $393.93 / $393.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.80 / $5,062.89 / $5,062.89
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.42 / $352.42 / $518.48
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.80 / $72.14 / $98.16
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.38 / $63.61 / $2,400,000.00