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Arizona 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
$1,671.00 / $3,617.00 / $6,329.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.69 / $254.64 / $458.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.64 / $289.36 / $551.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,813.11 / $1,813.11 / $1,813.11