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Minnesota rates for HCPCS D7111

Extraction Coronal Remnants-Primary Tooth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.76 / $58.76 / $58.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.20 / $58.76 / $58.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,144.28 / $3,057.88 / $12,757.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.22 / $171.53 / $171.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.69 / $82.13 / $119.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.42 / $352.42 / $352.42