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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
$162.18 / $162.18 / $549.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $190.55 / $229.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.95 / $4,786.30 / $6,309.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $707.95 / $1,096.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.72 / $123.03 / $181.97