go back

South Carolina rates for HCPCS D7210

Extraction Eru Tooth Rqr Remv Bone &/Sectn Tooth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.90 / $105.90 / $1,997.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.21 / $105.90 / $114.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$898.28 / $2,147.01 / $3,868.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.00 / $96.59 / $163.41
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.55 / $116.49 / $187.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $55.00 / $55.00