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West Virginia rates for HCPCS D7111

Extraction Coronal Remnants-Primary Tooth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.33 / $37.33 / $37.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.33 / $47.25 / $57.61