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Massachusetts rates for HCPCS D7220

Removal Of Impacted Tooth - Soft Tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.42 / $165.42 / $165.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.68 / $165.42 / $727.13
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.03 / $430.43 / $4,598.54
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.57 / $305.66 / $850.03
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $3,504.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.78 / $188.78 / $222.10
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.52 / $364.48 / $429.63
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$629.76 / $629.76 / $629.76
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.03 / $254.03 / $5,062.89
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.03 / $850.03 / $850.03