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New Jersey rates for HCPCS D7250

Removal Of Residual Tooth Roots

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.77 / $56.77 / $753.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.77 / $106.13 / $114.86
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,369.74 / $4,595.84 / $8,765.42
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.40 / $115.77 / $119.22