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Illinois rates for HCPCS D7250

Removal Of Residual Tooth Roots

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$98.13 / $98.13 / $98.13
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.13 / $107.62 / $139.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,218.21 / $2,374.42 / $3,067.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.26 / $117.26 / $117.26
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.00 / $374.74 / $421.91
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $2,500.00