go back

Nebraska rates for HCPCS D7240

Removal Of Impacted Tooth - Completely Bony

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,656.26 / $7,119.04 / $20,928.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.74 / $379.44 / $1,612.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,937.84 / $8,047.30 / $15,106.84
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.63 / $397.51 / $397.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.74 / $274.95 / $455.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.51 / $1,334.79 / $1,334.79
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$261.79 / $450.68 / $1,472.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$294.00 / $385.50 / $563.17
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.20 / $233.20 / $349.30