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Washington rates for HCPCS D7140

Extraction Erupted Tooth Or Exposed Root

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.00 / $2,654.96 / $12,496.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.85 / $61.43 / $102.00
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,419.07 / $5,062.89 / $5,062.89
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$121.00 / $402.94 / $589.04
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.42 / $117.66 / $2,059.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.42 / $113.52 / $153.33
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $50.00 / $50.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.69 / $129.72 / $1,330.00
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.22 / $145.52 / $145.52