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Indiana 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
$163.59 / $163.59 / $163.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.59 / $189.43 / $218.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$700.00 / $700.00 / $1,351.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$700.00 / $700.00 / $994.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.43 / $157.43 / $157.43