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Florida rates for HCPCS D7250

Removal Of Residual Tooth Roots

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.39 / $93.23 / $102.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.39 / $102.98 / $114.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.54 / $114.54 / $114.54
Florida Blue
Facility/Professional
Facility
Modifier
Low / Median / High Price
$760.41 / $811.10 / $877.01
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.38 / $159.00 / $162.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $50.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.00 / $151.00 / $151.00