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Louisiana rates for HCPCS D7220

Removal Of Impacted Tooth - Soft Tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.05 / $127.51 / $152.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.05 / $127.51 / $152.40
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.34 / $190.26 / $194.07