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Massachusetts rates for HCPCS D7111

Extraction Coronal Remnants-Primary Tooth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.12 / $56.12 / $56.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.15 / $56.12 / $98.32
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.09 / $113.30 / $941.10
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.80 / $111.60 / $352.42
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $3,504.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.70 / $81.70 / $96.11
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.58 / $123.51 / $145.59
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.97 / $109.97 / $5,062.89
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.42 / $352.42 / $352.42