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Montana rates for HCPCS D7220

Removal Of Impacted Tooth - Soft Tissue

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $134.90 / $257.04
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.55 / $190.55 / $190.55
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $245.47 / $4,570.88
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $245.47 / $4,570.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.89 / $177.83 / $295.12
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.43 / $85.11 / $281.84