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New Mexico rates for HCPCS D7230

Removal Of Impacted Tooth - Partially Bony

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.76 / $7,838.38 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.27 / $169.58 / $169.58
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.47 / $161.47 / $215.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $171.17 / $1,500.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.02 / $175.12 / $215.00