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Iowa rates for HCPCS D7240

Removal Of Impacted Tooth - Completely Bony

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,656.26 / $5,463.36 / $7,119.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.40 / $219.34 / $585.20
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.00 / $671.10 / $745.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.96 / $335.76 / $890.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.32 / $497.02 / $1,334.79
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.36 / $497.02 / $1,472.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.36 / $375.45 / $554.63
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.30 / $349.30 / $349.30
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.00 / $420.00 / $420.00