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California rates for HCPCS D7250

Removal Of Residual Tooth Roots (Cutting Procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.63 / $114.86 / $114.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.92 / $107.62 / $118.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.45 / $128.37 / $151.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.20 / $1,054.80 / $2,572.80
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $141.00 / $343.72
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,251.48 / $1,251.48 / $1,314.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.93 / $393.93 / $393.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.34 / $5,062.89 / $5,062.89
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.66 / $738.66 / $1,046.40
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.81 / $151.50 / $206.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.73 / $1,800,000.00 / $2,400,000.00