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Oregon rates for HCPCS D7111

Extraction Coronal Remnants-Primary Tooth

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.78 / $51.55 / $51.55
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.65 / $139.34 / $156.88
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.55 / $80.39 / $110.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.63 / $83.63 / $83.63
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.37 / $111.12 / $123.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.55 / $89.84 / $121.45
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.54 / $2,250,000.00 / $2,400,000.00