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Missouri rates for HCPCS D7240

Removal Of Impacted Tooth - Completely Bony

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.42 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.30 / $205.22 / $252.42
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.51 / $288.94 / $360.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.70 / $311.70 / $311.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$183.61 / $265.04 / $576.66
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,334.79 / $1,334.79 / $1,334.79