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New York rates for HCPCS D7111

Extraction, Coronal Remnants - Primary Tooth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.91 / $30.15 / $2,478.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $41.66 / $56.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,691.00 / $3,333.00 / $4,636.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.61 / $49.19 / $91.55
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,350.00 / $1,350.00 / $4,050.00
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.35 / $58.81 / $58.81
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $74,999.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $8.00 / $20.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.51 / $58.51 / $58.51
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.51 / $58.81 / $58.81