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Surgical Removal Of Leftover Tooth Root

Wyoming rates for HCPCS D7250

Surgical removal of a root fragment left behind in the jawbone after the crown of a tooth is already gone, such as after a tooth broke off or was extracted incompletely. Because there is no visible tooth crown to grip, the gum has to be opened and some bone removed to reach and take out the root piece. It differs from a simple extraction, which removes a whole tooth that is still visible.

Rates data updated October 2026.

How much rates vary

Facilitymedian $120 · 10th to 90th $120 to $120Professionalmedian $251 · 10th to 90th $120 to $251
$200facility $120professional $251

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
Aetna
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$120.23
Typical High
$120.23
BCBS
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$251.19
Typical High
$251.19
BCBS
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$173.78
Median
$173.78
Typical High
$173.78