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Indiana rates for HCPCS D7140

Extraction Erupted Tooth Or Exposed Root

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.48 / $46.91 / $46.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.91 / $54.30 / $64.08
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.00 / $84.00 / $162.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.00 / $84.00 / $119.28
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.76 / $75.59 / $92.63
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.76 / $68.72 / $85.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.75 / $62.75 / $62.75