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Ohio 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
$114.56 / $114.56 / $364.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.13 / $114.56 / $177.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.00 / $155.44 / $247.10
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.06 / $143.83 / $172.59
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.90 / $149.58 / $269.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.86 / $209.86 / $209.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $60.00