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Indiana rates for HCPCS D7111

Extraction Coronal Remnants-Primary Tooth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.53 / $42.53 / $42.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.53 / $49.19 / $58.07
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.00 / $84.00 / $162.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.00 / $84.00 / $119.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,649.61 / $16,774.95 / $23,574.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.14 / $47.14 / $47.14