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Indiana rates for HCPCS D7240

Removal Of Impacted Tooth - Completely Bony

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.02 / $1,386.00 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$153.02 / $183.25 / $280.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.00 / $254.00 / $490.22
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.00 / $254.00 / $360.68
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.75 / $247.68 / $303.41
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$195.75 / $225.11 / $280.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.08 / $217.08 / $217.08