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Illinois rates for HCPCS D7230

Removal Of Impacted Tooth - Partially Bony

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.03 / $2,989.00 / $7,407.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.03 / $169.58 / $229.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$594.95 / $1,723.28 / $5,719.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.00 / $475.00 / $475.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.10 / $185.10 / $185.10
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$271.24 / $591.51 / $665.96
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $2,500.00