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South Carolina rates for HCPCS D7240

Removal Of Impacted Tooth - Completely Bony

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $9,120.11 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $190.55 / $251.19
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,905.46 / $3,890.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.82 / $186.21 / $407.38
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$181.97 / $234.42 / $436.52
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $54.95