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Indiana rates for HCPCS D7230

Removal Of Impacted Tooth - Partially Bony

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$127.73 / $1,386.00 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.73 / $155.84 / $245.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.00 / $217.00 / $418.81
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.00 / $217.00 / $308.14
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$163.22 / $206.54 / $253.01
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$163.22 / $187.71 / $234.22
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.10 / $185.10 / $185.10