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North Dakota rates for HCPCS D7111

Extraction Coronal Remnants-Primary Tooth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.20 / $47.20 / $47.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.20 / $47.20 / $58.76
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.82 / $52.21 / $61.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.17 / $47.20 / $141.60