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Texas 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
$50.64 / $56.11 / $546.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.06 / $52.85 / $62.42
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,456.92 / $5,821.21 / $8,577.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.29 / $79.29 / $79.29
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.66 / $5,062.89 / $5,062.89
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.94 / $402.94 / $572.40
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.18 / $67.83 / $116.82
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.33 / $63.33 / $63.33
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.18 / $68.61 / $120.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.33 / $76.48 / $2,250,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.00 / $113.00 / $186.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.79 / $85.38 / $116.82