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Michigan 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
$208.93 / $208.93 / $208.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.91 / $194.98 / $229.09
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $208.93 / $208.93
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $204.17 / $218.78