go back

Ohio rates for HCPCS D7111

Extraction, Coronal Remnants - Primary Tooth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57.61 / $57.61 / $5,524.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.25 / $57.61 / $58.76
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.00 / $96.60 / $154.90
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,010.50 / $13,010.50 / $16,052.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.10 / $99.10 / $99.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $60.00