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Maine rates for HCPCS D7111

Extraction Coronal Remnants-Primary Tooth

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.79 / $75.09 / $75.09
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.27 / $78.41 / $92.39
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.58 / $75.88 / $116.40
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.79 / $75.09 / $75.09