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Alaska rates for HCPCS D7250

Removal Of Residual Tooth Roots (Cutting Procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.71 / $0.71 / $0.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.39 / $163.63 / $203.01
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.63 / $229.08 / $233.99
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.08 / $100.08 / $142.97
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.00 / $380.00 / $410.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.63 / $229.08 / $233.99
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.08 / $380.00 / $2,250,000.00