go back

Washington, DC rates for HCPCS D7220

Removal Of Impacted Tooth - Soft Tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126.10 / $126.10 / $126.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$126.10 / $126.10 / $126.10
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.00 / $168.00 / $183.12
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.58 / $318.18 / $318.18