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Texas 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
$91.56 / $101.43 / $101.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.96 / $101.40 / $112.84
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,456.92 / $5,821.21 / $8,577.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.60 / $356.00 / $356.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.34 / $3,728.65 / $3,728.65
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$728.46 / $728.46 / $1,046.40
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.13 / $122.61 / $217.68
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.67 / $115.67 / $115.67
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.90 / $97.90 / $97.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.94 / $124.69 / $217.68
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.67 / $135.85 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.00 / $250.00 / $303.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.00 / $170.76 / $233.63