go back

Tennessee rates for HCPCS D7111

Extraction, Coronal Remnants - Primary Tooth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.73 / $44.54 / $44.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.73 / $44.54 / $47.89
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.00 / $79.00 / $185.65
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.80 / $5,062.89 / $5,062.89
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.42 / $352.42 / $518.48