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Maine rates for HCPCS D7210

Extraction Eru Tooth Rqr Remv Bone &/Sectn Tooth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $0.81 / $166.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.21 / $134.65 / $166.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.63 / $184.83 / $218.39
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.35 / $178.58 / $273.95
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $0.81 / $0.81
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.21 / $166.12 / $166.13