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Alaska rates for HCPCS D7241

Removal Of Impacted Tooth - Completely Bony, With Unusual Surgical Complications

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,285.00 / $10,900.00 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$401.79 / $401.79 / $401.79
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.79 / $562.51 / $574.55
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.75 / $232.75 / $332.50
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.00 / $773.00 / $870.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.79 / $562.51 / $574.55
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.75 / $773.00 / $2,250,000.00