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Pennsylvania rates for HCPCS D7241

Remv Imp Tooth - Cmpl Bony W/Unusual Surg Comps

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.57 / $3,964.00 / $8,113.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.51 / $243.20 / $273.99
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,000.00 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.38 / $244.27 / $244.27
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$832.00 / $4,761.00 / $8,247.00
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.51 / $264.57 / $785.77
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$292.20 / $292.20 / $378.10