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Maine rates for HCPCS D7220

Removal Of Impacted Tooth - Soft Tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$203.68 / $5,001.80 / $7,778.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.56 / $203.68 / $203.68
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.08 / $231.73 / $272.61
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.52 / $223.90 / $343.48
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,001.80 / $5,001.80 / $7,778.60
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.83 / $203.68 / $203.68