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Mississippi rates for HCPCS D7220

Removal Of Impacted Tooth - Soft Tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.37 / $79.37 / $138.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.37 / $125.98 / $140.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$593.75 / $593.75 / $593.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.00 / $234.00 / $234.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.25 / $42.50 / $50.00