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Pennsylvania rates for HCPCS D7220

Removal Of Impacted Tooth - Soft Tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $123.03 / $371.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $125.89 / $295.12
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,754.23 / $5,011.87 / $57,543.99
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $194.98 / $194.98
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $123.03 / $123.03
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,089.30 / $5,495.41
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109.65 / $123.03 / $371.54
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $128.82 / $295.12
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.09 / $229.09 / $229.09
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $147.91 / $147.91