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Wisconsin rates for HCPCS D7311

Alveoloplasty In Conjunction With Extractions - One To Three Teeth Or Tooth Spaces, Per Quadrant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $123.03 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $128.82 / $154.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $218.78 / $478.63
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $147.91 / $309.03
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $134.90 / $309.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.57 / $912.01 / $912.01
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $54.95 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $380.19 / $537.03
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $3,715.35
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $912.01 / $912.01
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.88 / $162.18 / $177.83