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West Virginia 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
$3,871.86 / $3,871.86 / $3,871.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $52.85 / $62.88
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.52 / $85.75 / $104.81
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.28 / $147.27 / $147.27