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Oklahoma rates for HCPCS D7240

Removal Of Impacted Tooth - Completely Bony

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $3,684.00 / $18,600.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.37 / $173.38 / $219.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,531.78 / $5,582.19 / $8,888.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.00 / $275.00 / $275.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.95 / $184.19 / $296.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.16 / $318.52 / $1,334.79