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Tennessee rates for HCPCS D7250

Removal Of Residual Tooth Roots

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.22 / $97.99 / $97.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.22 / $98.92 / $108.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$216.00 / $216.00 / $507.60
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.34 / $5,062.89 / $5,062.89
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.66 / $738.66 / $1,046.40