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Maryland rates for HCPCS D7111

Extraction Coronal Remnants-Primary Tooth

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.14 / $48.89 / $54.86
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.50 / $58.50 / $74.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.58 / $82.02 / $117.06