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Michigan rates for HCPCS D7140

Extraction Erupted Tooth Or Exposed Root

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.96 / $59.96 / $59.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.85 / $57.50 / $59.96
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.99 / $85.04 / $93.57
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.75 / $74.70 / $83.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.75 / $89.88 / $99.10
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.96 / $59.96 / $59.96
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.85 / $59.96 / $75.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $147.60 / $147.60