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Pennsylvania 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
$831.76 / $5,754.40 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $251.19 / $371.54
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $245.47 / $245.47
Geisinger
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $218.78 / $309.03
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$831.76 / $4,265.80 / $8,317.64
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $263.03 / $724.44
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $346.74 / $346.74
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.60 / $295.12 / $295.12