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Iowa rates for HCPCS D7250

Removal Of Residual Tooth Roots

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.62 / $112.64 / $118.39
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $362.18 / $402.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$99.38 / $181.55 / $890.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.27 / $216.14 / $738.66
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.34 / $247.38 / $1,472.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.19 / $179.04 / $276.95
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.10 / $125.10 / $125.10
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.30 / $231.30 / $231.30