go back

Alaska rates for HCPCS D7240

Removal Of Impacted Tooth - Completely Bony

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,656.41 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.25 / $219.34 / $295.62
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.62 / $413.87 / $422.74
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.20 / $185.20 / $264.58
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$500.00 / $570.00 / $575.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$295.62 / $413.87 / $422.74
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.20 / $570.00 / $2,250,000.00