go back

Minnesota rates for HCPCS D7220

Removal Of Impacted Tooth - Soft Tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $134.90 / $134.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $131.83 / $380.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,630.27 / $6,025.60 / $12,589.25
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $489.78 / $489.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.90 / $199.53 / $724.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $851.14 / $851.14