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Iowa rates for HCPCS D7111

Extraction, Coronal Remnants - Primary Tooth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $52.48 / $61.66
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $162.18 / $208.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $89.13 / $891.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $123.03 / $354.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $102.33 / $138.04
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $123.03 / $138.04
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.44 / $72.44 / $72.44
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $102.33 / $102.33