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California rates for HCPCS D7220

Removal Of Impacted Tooth - Soft Tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.57 / $136.16 / $136.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.25 / $127.56 / $140.32
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.86 / $152.76 / $177.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $1,054.80 / $2,572.80
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.70 / $161.00 / $392.47
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,251.48 / $1,251.48 / $1,314.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.93 / $393.93 / $393.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.25 / $5,062.89 / $5,062.89
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.03 / $850.03 / $1,198.95
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.94 / $175.62 / $243.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.86 / $146.97 / $2,400,000.00