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Texas rates for HCPCS D7111

Extraction Coronal Remnants-Primary Tooth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.26 / $44.26 / $49.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.56 / $44.96 / $54.55
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.65 / $169.00 / $169.00
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.42 / $54.55 / $104.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.37 / $57.37 / $57.37
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.60 / $57.60 / $57.60
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.65 / $54.55 / $105.04
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.37 / $57.48 / $2,250,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $157.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.00 / $61.00 / $82.35