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Georgia 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
$165.44 / $165.44 / $165.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.52 / $165.44 / $204.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.16 / $175.00 / $404.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$252.48 / $252.48 / $290.35