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Massachusetts 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
$131.83 / $131.83 / $131.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $131.83 / $239.88
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $3,715.35 / $6,309.57
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $169.82 / $724.44
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $3,630.78 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $165.96 / $194.98
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.83 / $234.42 / $346.74
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $7,762.47 / $7,762.47
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $3,715.35 / $6,309.57
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $169.82 / $724.44