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Kentucky rates for HCPCS D7220

Removal Of Impacted Tooth - Soft Tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.05 / $195.00 / $195.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.83 / $140.32 / $195.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.00 / $185.00 / $185.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00