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Wisconsin 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 / $107.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $128.82 / $407.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $223.87 / $467.74
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $128.82 / $269.15
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $138.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107.15 / $128.82 / $269.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $851.14 / $851.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $54.95 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $331.13 / $467.74
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $3,467.37 / $5,011.87
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $851.14 / $851.14
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $251.19 / $251.19
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $245.47 / $275.42