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South Carolina rates for HCPCS D7111

Extraction Coronal Remnants-Primary Tooth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.09 / $3,772.63 / $3,772.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.78 / $53.09 / $55.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$984.28 / $2,154.98 / $3,868.86
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.67 / $53.09 / $90.25
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $55.00 / $55.00