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Louisiana rates for HCPCS D7240

Removal Of Impacted Tooth - Completely Bony

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$237.06 / $2,562.00 / $4,050.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$175.87 / $198.37 / $237.06
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.63 / $334.43 / $341.12