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Massachusetts rates for HCPCS D7250

Removal Of Residual Tooth Roots

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.09 / $139.09 / $593.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.92 / $139.09 / $244.55
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.43 / $387.94 / $941.10
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.86 / $258.45 / $738.66
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $3,504.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$164.64 / $164.64 / $193.70
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.13 / $307.26 / $362.19
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.43 / $221.43 / $5,062.89
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.66 / $738.66 / $738.66