go back

Minnesota rates for HCPCS D7250

Removal Of Residual Tooth Roots

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.18 / $117.18 / $117.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.92 / $112.64 / $118.39
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,144.28 / $3,057.88 / $12,757.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.38 / $407.98 / $407.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.77 / $198.03 / $241.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.66 / $738.66 / $738.66