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Michigan 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
$271.45 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.42 / $271.45 / $271.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$467.50 / $467.50 / $467.50
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.13 / $486.20 / $631.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.26 / $267.26 / $291.24
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$271.45 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.08 / $271.45 / $284.27
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $55.00