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Ohio rates for HCPCS D7220

Removal Of Impacted Tooth - Soft Tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.02 / $132.02 / $400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.96 / $132.02 / $212.99
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$168.00 / $193.20 / $309.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,010.50 / $13,010.50 / $16,052.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.86 / $209.86 / $209.86
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.00 / $60.00 / $60.00