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Oklahoma rates for HCPCS D7220

Removal Of Impacted Tooth - Soft Tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.41 / $110.41 / $110.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.40 / $110.41 / $140.32
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,832.04 / $6,056.77 / $9,643.85
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.00 / $130.00 / $130.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$110.41 / $117.29 / $189.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.50 / $203.58 / $850.03