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New Mexico 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
$230.24 / $7,838.38 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.81 / $230.24 / $255.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$497.97 / $1,202.03 / $3,984.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.93 / $214.93 / $286.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $227.83 / $1,500.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.80 / $257.64 / $317.00