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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
$128.82 / $128.82 / $128.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $131.83 / $204.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $251.19 / $251.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$112.20 / $138.04 / $199.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $851.14 / $851.14