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Indiana 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
$212.31 / $1,386.00 / $4,846.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.31 / $245.92 / $300.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$320.00 / $320.00 / $617.60
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$305.50 / $320.00 / $454.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.08 / $273.08 / $273.08