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Minnesota rates for HCPCS D7240

Removal Of Impacted Tooth - Completely Bony

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.35 / $211.35 / $6,115.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.25 / $211.35 / $1,520.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,144.28 / $3,057.88 / $13,213.43
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$640.08 / $800.10 / $800.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.46 / $357.18 / $433.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,334.79 / $1,334.79 / $1,334.79