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Massachusetts rates for HCPCS D7220

Removal Of Impacted Tooth - Soft Tissue

Facilitymedian $166 · 10th–90th $166$4,4670%50%90th$166Professionalmedian $195 · 10th–90th $117$3720%10%10th90th$195$100.0$500.0$2.0K$10.0K$50.0K

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
$165.96 / $165.96 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $134.90 / $275.42
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $1,949.84 / $6,309.57
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $218.78 / $851.14
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$190.55 / $3,311.31 / $8,511.38
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $190.55 / $223.87
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $288.40 / $426.58
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$630.96 / $630.96 / $630.96
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$331.13 / $1,949.84 / $6,309.57
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$141.25 / $218.78 / $851.14