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Louisiana rates for HCPCS D7230

Removal Of Impacted Tooth - Partially Bony

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$201.71 / $2,562.00 / $4,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.63 / $168.77 / $201.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.02 / $263.52 / $268.80