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Louisiana rates for HCPCS D7220

Removal Of Impacted Tooth - Soft Tissue

Facilitymedian $126 · 10th–90th $126$1510%50%90th$126Professionalmedian $132 · 10th–90th $107$2290%20%10th90th$132$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$125.89 / $125.89 / $151.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$107.15 / $131.83 / $229.09
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $190.55 / $190.55