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Arkansas rates for HCPCS D7321

Alveoloplasty Not In Conjunction With Extractions - One To Three Teeth Or Tooth Spaces, Per Quadrant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.66 / $135.66 / $135.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.62 / $135.66 / $204.27