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Rhode Island rates for HCPCS D7230

Removal Of Impacted Tooth - Partially Bony

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,706.14 / $3,706.14 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$148.03 / $220.11 / $228.81
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.25 / $285.00 / $464.32