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Missouri rates for HCPCS D7220

Removal Of Impacted Tooth - Soft Tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.12 / $161.28 / $161.28
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.99 / $131.12 / $161.28
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.53 / $186.53 / $235.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.33 / $190.33 / $190.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.33 / $169.34 / $368.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.03 / $850.03 / $850.03