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Montana rates for HCPCS D7250

Removal Of Residual Tooth Roots (Cutting Procedure)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.92 / $107.62 / $118.39
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.79 / $182.79 / $182.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.87 / $170.83 / $246.40