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Maine 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
$0.40 / $0.40 / $410.74
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.69 / $410.74 / $410.74
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$319.76 / $453.66 / $534.52
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.87 / $439.51 / $674.23
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $0.40 / $0.40
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$250.69 / $410.74 / $410.74