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Iowa rates for HCPCS D7210

Extraction, Erupted Tooth Requiring Removal Of Bone And/Or Sectioning Of Tooth, And Including Elevation Of Mucoperiosteal Flap If Indicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,873.92 / $1,873.92 / $1,873.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.40 / $112.64 / $520.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $342.65 / $380.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.99 / $179.04 / $1,300.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.94 / $268.54 / $728.46
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.34 / $293.83 / $1,314.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.79 / $213.07 / $297.70
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.40 / $154.40 / $154.40
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.60 / $223.60 / $223.60