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Maryland rates for HCPCS D7240

Removal Of Impacted Tooth - Completely Bony

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.25 / $197.33 / $492.85
CareFirst
Facility/Professional
Professional
Modifier
Low / Median / High Price
$240.30 / $292.00 / $333.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.08 / $296.80 / $469.01