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Idaho rates for HCPCS D7111

Extraction, Coronal Remnants - Primary Tooth

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $52.48 / $61.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $691.83 / $1,698.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $100.00 / $100.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $57.54 / $104.71
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $52.48 / $61.66
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.66 / $2,041.74 / $4,265.80