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Idaho rates for HCPCS D7220

Removal Of Impacted Tooth - Soft Tissue

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $141.25 / $257.04
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $691.83 / $1,698.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $269.15 / $269.15
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $165.96 / $309.03
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $141.25 / $257.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $2,041.74 / $4,265.80