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Indiana rates for HCPCS D7250

Removal Of Residual Tooth Roots (Cutting Procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.83 / $84.83 / $84.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.83 / $98.13 / $170.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.00 / $137.00 / $264.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.00 / $137.00 / $194.54
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,649.61 / $16,774.95 / $23,574.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.26 / $117.26 / $117.26