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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
$107.15 / $107.15 / $117.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.15 / $125.89 / $208.93
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,548.13 / $4,265.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $426.58
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $5,011.87 / $5,011.87
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,202.26 / $1,202.26
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $154.88 / $257.04
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $125.89 / $245.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $50.12
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $275.42 / $275.42
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $151.36 / $251.19
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.26 / $138.04 / $218.78
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $165.96 / $263.03