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Michigan 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
$107.15 / $107.15 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $107.15 / $239.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $229.09
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $229.09 / $229.09
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $107.15 / $107.15
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $107.15 / $239.88