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Nebraska rates for HCPCS D7220

Removal Of Impacted Tooth - Soft Tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.26 / $103.26 / $103.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.26 / $103.26 / $716.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,937.84 / $8,047.30 / $15,106.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.77 / $254.49 / $254.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103.26 / $175.54 / $291.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$293.83 / $850.03 / $850.03
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$167.37 / $295.25 / $1,472.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.00 / $247.81 / $368.93
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.19 / $149.19 / $249.70