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West Virginia rates for HCPCS D7230

Removal Of Impacted Tooth - Partially Bony

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.18 / $118.18 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.18 / $169.58 / $261.99
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.59 / $234.35 / $286.42
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.39 / $402.48 / $402.48