go back

Idaho rates for HCPCS D7220

Removal Of Impacted Tooth - Soft Tissue

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$128.10 / $130.81 / $259.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.02 / $152.40 / $331.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $3,500.00