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Virginia rates for HCPCS D7111

Extraction, Coronal Remnants - Primary Tooth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.25 / $47.25 / $54.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.95 / $47.25 / $54.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.75 / $39.75 / $54.81
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.50 / $65.52 / $114.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.40 / $68.88 / $84.95
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.90 / $53.39 / $82.29
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.73 / $101.00 / $143.18
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.69 / $56.52 / $9,929.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.69 / $56.52 / $9,929.00