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South Carolina rates for HCPCS D7230

Removal Of Impacted Tooth - Partially Bony

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.53 / $9,727.40 / $16,467.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.53 / $159.53 / $175.03
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,057.16 / $2,216.51 / $3,868.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.00 / $184.84 / $324.08
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.51 / $175.48 / $286.67
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $55.00 / $55.00