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Montana rates for HCPCS D7240

Removal Of Impacted Tooth - Completely Bony

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.25 / $199.40 / $376.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $81,499.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.00 / $295.00 / $295.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.39 / $338.39 / $338.39
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.75 / $308.64 / $445.20