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Kansas rates for HCPCS D7220

Removal Of Impacted Tooth - Soft Tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.80 / $170.80 / $170.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.38 / $131.12 / $170.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.38 / $251.38 / $251.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.50 / $131.12 / $216.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.03 / $850.03 / $850.03