go back

Massachusetts rates for HCPCS D7140

Extraction Erupted Tooth Or Exposed Root

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.17 / $509.20 / $1,178.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.10 / $74.17 / $130.77
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.33 / $152.53 / $941.10
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.55 / $138.18 / $402.94
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $3,504.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.15 / $90.15 / $106.06
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.18 / $164.19 / $193.55
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$577.50 / $577.50 / $578.92
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$121.33 / $121.33 / $5,062.89
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.94 / $402.94 / $402.94