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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
$257.04 / $3,388.44 / $5,623.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $239.88 / $501.19
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $3,981.07 / $6,309.57
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $346.74 / $1,348.96
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.18 / $3,630.78 / $9,772.37
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $295.12 / $346.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $446.68 / $660.69
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $3,981.07 / $6,309.57
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $346.74 / $1,348.96