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Missouri 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
$1,110.00 / $4,470.00 / $12,154.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.81 / $284.87 / $350.39
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.47 / $289.85 / $365.62
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$267.26 / $267.26 / $267.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$253.03 / $367.91 / $800.48
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,813.11 / $1,813.11 / $1,813.11