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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
$100.00 / $112.20 / $204.17
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $213.80 / $4,570.88
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $213.80 / $4,570.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.71 / $141.25 / $177.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $85.11 / $245.47