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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
$186.21 / $1,819.70 / $2,511.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $204.17 / $512.86
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $263.03 / $501.19