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West Virginia 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
$77.62 / $77.62 / $77.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $107.15 / $125.89
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $162.18 / $208.93
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $234.42 / $275.42