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Pennsylvania rates for HCPCS D7250

Removal Of Residual Tooth Roots

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$96.13 / $107.79 / $107.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.67 / $107.62 / $114.56
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,632.00 / $5,000.00 / $57,255.43
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.15 / $104.96 / $104.96
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,234.40 / $1,234.40 / $1,234.40
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.79 / $107.79 / $107.79
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.93 / $107.63 / $203.01
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.10 / $125.70 / $125.70