go back

Arizona rates for HCPCS D7140

Extraction, Erupted Tooth Or Exposed Root (Elevation And/Or Forceps Removal)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,854.00 / $3,854.00 / $3,854.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.03 / $57.50 / $102.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.80 / $62.40 / $78.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.03 / $63.68 / $121.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.94 / $402.94 / $402.94