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Pennsylvania 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
$95.96 / $2,494.90 / $7,922.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.43 / $55.95 / $62.88
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.60 / $89.87 / $89.87
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.33 / $75.20 / $75.20
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.29 / $2,071.88 / $3,726.23
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.82 / $2,494.90 / $7,922.20
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.43 / $58.84 / $174.57
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.50 / $82.50 / $90.30