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Missouri rates for HCPCS D7230

Removal Of Impacted Tooth - Partially Bony

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,110.00 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.69 / $171.42 / $210.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.29 / $248.72 / $360.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.70 / $311.70 / $311.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.10 / $221.39 / $481.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,116.36 / $1,116.36 / $1,116.36