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Montana rates for HCPCS D7321

Alveoloplasty Not In Conjunction With Extractions - One To Three Teeth Or Tooth Spaces, Per Quadrant

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $204.17 / $239.88
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $407.38 / $426.58
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $407.38 / $426.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $239.88 / $263.03
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $85.11 / $457.09