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California rates for HCPCS D7240

Removal Of Impacted Tooth - Completely Bony

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.80 / $9,690.00 / $21,960.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.25 / $199.40 / $219.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.93 / $237.91 / $278.00
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.00 / $1,054.80 / $2,572.80
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.50 / $295.00 / $704.50
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,251.48 / $1,251.48 / $1,314.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.93 / $393.93 / $393.93
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.16 / $5,062.89 / $5,062.89
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,334.79 / $1,334.79 / $1,876.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.37 / $274.82 / $380.61
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.01 / $1,800,000.00 / $2,400,000.00