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Utah rates for HCPCS D7111

Extraction Coronal Remnants-Primary Tooth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.07 / $38.07 / $38.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.07 / $38.07 / $62.37
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $77.40