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Idaho 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
$4,500.00 / $4,500.00 / $5,519.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.36 / $276.27 / $458.00
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.48 / $307.13 / $586.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $3,500.00 / $3,900.00