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Illinois rates for HCPCS D7111

Extraction Coronal Remnants-Primary Tooth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.19 / $49.19 / $49.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.66 / $53.03 / $70.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,218.21 / $2,374.42 / $3,067.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.14 / $47.14 / $47.14
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.63 / $186.77 / $202.86
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $2,500.00