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Utah rates for HCPCS D7250

Removal Of Residual Tooth Roots

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.85 / $95.85 / $95.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$95.85 / $95.85 / $137.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $177.26