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Rhode Island rates for HCPCS D7240

Removal Of Impacted Tooth - Completely Bony

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,706.14 / $3,788.96 / $3,955.04
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.02 / $258.17 / $269.10
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.75 / $335.00 / $545.78