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Wisconsin rates for HCPCS D7230

Removal Of Impacted Tooth - Partially Bony

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.04 / $138.04 / $17,782.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $169.82 / $512.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $295.12 / $602.56
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $169.82 / $354.81
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $120.23 / $181.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $169.82 / $354.81
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$120.23 / $1,122.02 / $1,122.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $54.95 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $436.52 / $602.56
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $3,467.37 / $5,011.87
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,122.02 / $1,122.02
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $331.13 / $331.13
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $331.13 / $363.08