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Minnesota rates for HCPCS D7230

Removal Of Impacted Tooth - Partially Bony

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176.39 / $176.39 / $422.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.84 / $176.39 / $387.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,144.28 / $3,057.88 / $13,213.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.52 / $671.90 / $671.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$220.23 / $298.10 / $361.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,116.36 / $1,116.36 / $1,116.36