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Arkansas rates for HCPCS D7230

Removal Of Impacted Tooth - Partially Bony

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.13 / $1,821.00 / $9,477.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.01 / $159.13 / $169.58
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.39 / $260.39 / $260.39
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.13 / $217.49 / $402.48