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Maine rates for HCPCS D7240

Removal Of Impacted Tooth - Completely Bony

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.06 / $8,110.73 / $9,652.53
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.25 / $219.34 / $317.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.44 / $361.95 / $425.33
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.27 / $349.74 / $536.52
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,110.73 / $8,110.73 / $9,652.53
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.25 / $264.75 / $317.06