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North Dakota rates for HCPCS D7220

Removal Of Impacted Tooth - Soft Tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.10 / $128.10 / $128.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.56 / $128.10 / $134.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.71 / $231.44 / $272.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.48 / $128.10 / $384.30