go back

Nebraska rates for HCPCS D7250

Removal Of Residual Tooth Roots

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.67 / $89.67 / $89.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.67 / $89.67 / $89.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,937.84 / $8,047.30 / $15,106.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$203.80 / $214.53 / $214.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.67 / $152.44 / $245.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.99 / $738.66 / $738.66
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$145.34 / $216.14 / $1,472.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.80 / $179.49 / $275.61
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.10 / $125.10 / $125.70