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New Hampshire rates for HCPCS D7240

Removal Of Impacted Tooth - Completely Bony

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,331.21 / $5,191.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.25 / $258.17 / $264.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.44 / $278.00 / $361.95
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.27 / $599.66 / $995.74