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Alaska rates for HCPCS D7220

Removal Of Impacted Tooth - Soft Tissue

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.32 / $188.80 / $240.62
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.80 / $264.32 / $269.98
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.70 / $118.70 / $169.58
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.00 / $415.00 / $420.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.80 / $264.32 / $269.98
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.70 / $415.00 / $2,250,000.00