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Utah rates for HCPCS D7210

Extraction Eru Tooth Rqr Remv Bone &/Sectn Tooth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$90.26 / $90.26 / $90.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.26 / $90.26 / $111.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $173.51