go back

Michigan rates for HCPCS D7250

Removal Of Residual Tooth Roots (Cutting Procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.39 / $108.39 / $108.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.13 / $107.62 / $109.41
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.49 / $50.49 / $157.78
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.59 / $252.45 / $340.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.54 / $114.54 / $125.03
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.39 / $108.39 / $108.39
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.92 / $108.39 / $113.80
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $281.39 / $281.39