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Tennessee rates for HCPCS D7240

Removal Of Impacted Tooth - Completely Bony

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$580.91 / $2,678.00 / $7,602.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.21 / $183.25 / $217.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.00 / $341.00 / $801.35
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$379.16 / $5,062.89 / $5,062.89
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,334.79 / $1,334.79 / $1,876.80