go back

Maryland rates for HCPCS D7230

Removal Of Impacted Tooth - Partially Bony

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$736.09 / $736.09 / $736.09
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.51 / $164.86 / $185.84
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.50 / $228.00 / $260.60
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.84 / $247.47 / $394.25