go back

Kentucky rates for HCPCS D7240

Removal Of Impacted Tooth - Completely Bony

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.08 / $280.00 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.89 / $219.34 / $280.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.00 / $285.00 / $285.00
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.62 / $280.87 / $364.28
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.62 / $250.78 / $282.87
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $45.00