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Utah rates for HCPCS D7140

Extraction Erupted Tooth Or Exposed Root

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.20 / $51.20 / $51.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.20 / $51.20 / $102.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $99.87