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Texas rates for HCPCS D7321

Alveoloplsty Not Cnjnc Xtrct 1-3 Teeth/Spce Quad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$166.91 / $166.91 / $185.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.66 / $169.55 / $205.71
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.45 / $3,728.65 / $3,728.65
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,328.36 / $1,328.36 / $2,006.33
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.82 / $202.12 / $416.27
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.95 / $221.95 / $221.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.82 / $204.35 / $416.27
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$192.38 / $221.95 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$131.00 / $250.00 / $400.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.00 / $175.00 / $236.25