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North Carolina rates for HCPCS D7220

Removal Of Impacted Tooth - Soft Tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.26 / $427.95 / $6,704.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.25 / $133.26 / $133.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.47 / $231.07 / $310.82
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.00 / $133.26 / $223.81
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.82 / $110.82 / $110.82
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.50 / $162.50 / $249.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.00 / $190.00 / $301.00
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.25 / $5,062.89 / $5,062.89
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.03 / $850.03 / $1,198.95