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Impacted Tooth Removal – Partly In Bone

Iowa rates for HCPCS D7230

Surgical removal of a tooth that is partly covered by jawbone and partly by gum tissue, meaning only part of it has to be uncovered by removing bone before it can be taken out. This falls between a soft-tissue impaction, where the tooth is only covered by gum, and a fully bony impaction, where the entire tooth is encased in bone. The gum is opened and a portion of surrounding bone is removed to free the tooth.

Rates data updated July 2026.

Facilitymedian $5,012 · 10th–90th $170$7,9430%10%10th90th$5,012Professionalmedian $170 · 10th–90th $141$5890%20%10th90th$170$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$169.82
Median
$6,456.54
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$169.82
Typical High
$588.84
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$524.81
Median
$575.44
Typical High
$630.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$288.40
Typical High
$1,348.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$407.38
Typical High
$1,122.02
Midlands
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$416.87
Typical High
$446.68
Midlands
Setting
Professional
Modifier
Global
Typical Low
$281.84
Median
$416.87
Typical High
$467.74
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$338.84
Typical High
$338.84