go back

Maryland rates for HCPCS D7220

Removal Of Impacted Tooth - Soft Tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.42 / $278.42 / $278.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.87 / $126.10 / $139.38
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.10 / $168.00 / $192.02
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$147.00 / $189.63 / $300.33