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Massachusetts rates for HCPCS D7230

Removal Of Impacted Tooth - Partially Bony

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.11 / $2,671.00 / $4,806.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.58 / $220.11 / $875.76
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.42 / $574.34 / $4,598.54
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.57 / $407.85 / $1,116.36
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $3,504.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.34 / $246.34 / $289.81
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.51 / $484.99 / $571.70
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.42 / $331.42 / $5,062.89
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,116.36 / $1,116.36 / $1,116.36