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Missouri rates for HCPCS D7250

Removal Of Residual Tooth Roots (Cutting Procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.77 / $139.93 / $139.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.05 / $113.77 / $139.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.20 / $132.52 / $165.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.54 / $114.54 / $114.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.73 / $146.93 / $319.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.66 / $738.66 / $738.66