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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
$165.96 / $165.96 / $165.96
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $138.04 / $275.42
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $3,981.07 / $6,309.57
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $218.78 / $851.14
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $3,630.78 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $190.55 / $223.87
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$165.96 / $295.12 / $426.58
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,258.93 / $1,258.93 / $1,258.93
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $3,981.07 / $6,309.57
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.25 / $218.78 / $851.14