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New Mexico rates for HCPCS D7240

Removal Of Impacted Tooth - Completely Bony

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.52 / $7,838.38 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$167.73 / $188.13 / $199.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$497.97 / $1,202.03 / $3,984.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.44 / $190.44 / $253.61
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $201.86 / $1,500.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$202.20 / $205.05 / $251.69