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Tennessee rates for HCPCS D7220

Removal Of Impacted Tooth - Soft Tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.76 / $114.34 / $114.34
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.76 / $115.83 / $139.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.00 / $249.00 / $585.15
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.25 / $5,062.89 / $5,062.89
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.03 / $850.03 / $1,198.95