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Missouri 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
$229.09 / $269.15 / $269.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $204.17 / $269.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $190.55 / $257.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $281.84 / $851.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.26 / $1,318.26 / $1,318.26