go back

South Carolina rates for HCPCS D7140

Extraction Erupted Tooth Or Exposed Root

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.57 / $620.69 / $3,635.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.85 / $58.57 / $63.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.24 / $1,965.75 / $3,868.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.81 / $114.81 / $245.16
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.48 / $64.43 / $99.57
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $55.00 / $55.00