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Maryland rates for HCPCS D7250

Removal Of Residual Tooth Roots (Cutting Procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.22 / $107.62 / $117.53
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.40 / $240.00 / $307.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.26 / $165.46 / $257.18