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Minnesota 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
$117.18 / $117.18 / $3,332.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.21 / $112.64 / $232.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.98 / $5,034.89 / $12,757.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$324.14 / $405.18 / $405.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.09 / $198.03 / $241.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.46 / $728.46 / $728.46