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Maryland 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
$110.46 / $110.46 / $110.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.85 / $57.50 / $63.19
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.00 / $109.00 / $124.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.19 / $90.55 / $138.60