go back

Idaho rates for HCPCS D7111

Extraction, Coronal Remnants - Primary Tooth

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.55 / $53.66 / $62.37
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.54 / $56.88 / $79.83
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $2,000.00 / $3,900.00