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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
$52.48 / $52.48 / $52.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $48.98 / $57.54
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $1,905.46 / $3,890.45
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.81 / $57.54 / $97.72
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $54.95