go back

New York 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
$1,516.00 / $5,845.00 / $10,686.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.33 / $235.95 / $332.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,393.00 / $4,120.00 / $8,836.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.14 / $284.55 / $529.67
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,071.00 / $2,071.00 / $6,213.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$200.00 / $200.00 / $324.00
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.43 / $402.73 / $402.73
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$555.00 / $597.00 / $74,999.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.00 / $125.00 / $180.00
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.08 / $291.08 / $291.08
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$291.08 / $402.73 / $402.73