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Pennsylvania rates for HCPCS D7111

Extraction, Coronal Remnants - Primary Tooth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.87 / $51.46 / $479.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.33 / $45.87 / $54.86
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.69 / $42.23 / $42.23
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$999.44 / $999.44 / $3,726.23
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.46 / $51.46 / $479.82
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.33 / $45.87 / $57.61
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.40 / $48.40 / $65.50