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Montana rates for HCPCS D7230

Removal Of Impacted Tooth - Partially Bony

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.84 / $169.58 / $186.53
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.00 / $254.00 / $254.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.79 / $287.79 / $287.79
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.10 / $258.18 / $372.40