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Michigan rates for HCPCS D7240

Removal Of Impacted Tooth - Completely Bony

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.53 / $571.66 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.25 / $195.53 / $219.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.48 / $79.48 / $248.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.48 / $377.51 / $476.86
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.40 / $278.64 / $306.56
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.54 / $244.69 / $272.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.08 / $311.70 / $343.69
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$246.36 / $571.66 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.25 / $195.53 / $815.10
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $479.40 / $479.40