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Missouri rates for HCPCS D7111

Extraction, Coronal Remnants - Primary Tooth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.03 / $70.16 / $70.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.26 / $57.03 / $70.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.48 / $83.62 / $98.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.88 / $89.88 / $89.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.19 / $70.16 / $160.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.42 / $352.42 / $352.42