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Texas rates for HCPCS D7220

Removal Of Impacted Tooth - Soft Tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.83 / $106.83 / $118.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$106.82 / $118.02 / $131.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,456.92 / $5,821.21 / $8,577.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$358.70 / $422.00 / $422.00
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.67 / $149.56 / $251.03
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.60 / $132.60 / $132.60
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.50 / $162.50 / $162.50
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.67 / $151.66 / $253.51
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.60 / $196.55 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.00 / $300.00 / $352.00
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.18 / $177.00 / $226.33