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Wisconsin 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
$177.83 / $177.83 / $177.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $190.55 / $223.87
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $323.59 / $707.95
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $218.78 / $446.68
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $102.33 / $102.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.54 / $194.98 / $446.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $1,318.26 / $1,318.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $58.88 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $562.34 / $776.25
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $2,511.89 / $3,715.35
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,318.26 / $1,318.26
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $257.04 / $275.42