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Arizona rates for HCPCS D7240

Removal Of Impacted Tooth - Completely Bony

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,671.00 / $3,617.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.61 / $199.40 / $220.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.61 / $218.67 / $397.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,334.79 / $1,334.79 / $1,334.79