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Massachusetts rates for HCPCS D7240

Removal Of Impacted Tooth - Completely Bony

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$258.17 / $2,671.00 / $4,806.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.17 / $264.75 / $1,823.76
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.43 / $673.46 / $4,598.54
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.94 / $478.24 / $1,334.79
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.43 / $3,504.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.43 / $295.43 / $347.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.27 / $569.30 / $671.09
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,134.50 / $3,134.50 / $3,134.50
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$397.43 / $397.43 / $5,062.89
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,334.79 / $1,334.79 / $1,334.79