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New Hampshire rates for HCPCS D7220

Removal Of Impacted Tooth - Soft Tissue

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.65 / $128.82 / $204.17
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $177.83 / $234.42
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $316.23 / $501.19