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Utah rates for HCPCS D7220

Removal Of Impacted Tooth - Soft Tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.57 / $113.57 / $113.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$113.57 / $113.57 / $259.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $214.71