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Idaho rates for HCPCS D7250

Removal Of Residual Tooth Roots (Cutting Procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.62 / $112.56 / $137.21
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.22 / $129.11 / $175.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $2,000.00 / $3,900.00