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Oregon rates for HCPCS D7220

Removal Of Impacted Tooth - Soft Tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,040.50 / $9,040.50 / $9,040.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.22 / $134.83 / $193.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.97 / $321.98 / $362.52
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.00 / $241.73 / $414.95
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.08 / $247.08 / $247.08
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.45 / $256.72 / $284.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.00 / $280.62 / $414.95
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.18 / $2,250,000.00 / $2,400,000.00