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Arkansas rates for HCPCS D7240

Removal Of Impacted Tooth - Completely Bony

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.30 / $1,821.00 / $9,477.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$170.01 / $186.30 / $199.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$312.24 / $312.24 / $312.24
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.78 / $260.81 / $482.63