go back

West Virginia rates for HCPCS D7240

Removal Of Impacted Tooth - Completely Bony

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.27 / $141.27 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.27 / $206.43 / $1,121.80
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.16 / $281.02 / $343.46
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$312.24 / $482.63 / $482.63