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Maine rates for HCPCS D7250

Removal Of Residual Tooth Roots

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.62 / $142.90 / $172.70
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$137.50 / $196.03 / $229.08
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.13 / $188.75 / $289.56
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.62 / $142.90 / $172.70