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Mississippi rates for HCPCS D7240

Removal Of Impacted Tooth - Completely Bony

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.63 / $936.00 / $2,010.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$124.63 / $199.40 / $219.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$593.75 / $593.75 / $593.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.00 / $310.00 / $310.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.25 / $42.50 / $50.00