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South Carolina rates for HCPCS D7220

Removal Of Impacted Tooth - Soft Tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.03 / $123.03 / $123.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $123.03 / $154.88
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,905.46 / $3,890.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $131.83 / $223.87
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.49 / $147.91 / $275.42
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $54.95