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Montana rates for HCPCS D7111

Extraction, Coronal Remnants - Primary Tooth

Facilitymedian $107 · 10th–90th $71–$4,5710%50%10th90th$107Professionalmedian $52 · 10th–90th $41–$1050%20%10th90th$52$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $51.29 / $61.66
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $70.79 / $70.79
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $107.15 / $4,570.88
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $107.15 / $4,570.88
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $64.57 / $72.44
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $79.43 / $117.49