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Minnesota rates for HCPCS D7220

Removal Of Impacted Tooth - Soft Tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$134.94 / $134.94 / $322.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.25 / $134.94 / $259.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,144.28 / $3,057.88 / $12,757.34
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.16 / $488.95 / $488.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.57 / $228.05 / $276.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.03 / $850.03 / $850.03