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Missouri rates for HCPCS D7220

Removal Of Impacted Tooth - Soft Tissue

Facilitymedian $162 · 10th–90th $132–$3390%20%10th90th$162Professionalmedian $135 · 10th–90th $107–$2400%10%20%10th90th$135$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$134.90 / $162.18 / $162.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $131.83 / $234.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$109.65 / $169.82 / $245.47
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $251.19 / $251.19
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $177.83 / $501.19
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $851.14 / $851.14