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Maine rates for HCPCS D7230

Removal Of Impacted Tooth - Partially Bony

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$269.56 / $7,202.48 / $9,337.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.58 / $269.56 / $269.57
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.44 / $308.04 / $362.71
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.51 / $297.94 / $457.05
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,202.48 / $7,202.48 / $9,337.60
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.58 / $269.56 / $269.57