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New York rates for HCPCS D7240

Removal Of Impacted Tooth - Completely Bony

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$957.73 / $5,889.32 / $10,517.90
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.79 / $203.19 / $452.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,393.00 / $4,120.00 / $8,836.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.00 / $228.68 / $422.60
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,071.00 / $2,071.00 / $6,213.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $200.00 / $324.00
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.00 / $374.49 / $374.49
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$432.07 / $432.07 / $432.07
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.70 / $205.70 / $211.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.00 / $105.00 / $165.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$209.78 / $209.78 / $209.78
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.78 / $374.49 / $374.49