go back

Missouri 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
$113.76 / $118.61 / $139.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.50 / $113.77 / $139.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.24 / $148.29 / $235.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.33 / $190.33 / $190.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102.34 / $146.93 / $319.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.46 / $728.46 / $728.46