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Impacted Tooth Removal – Complex Bony Case

Rhode Island rates for HCPCS D7241

Surgical removal of a tooth that is completely encased in jawbone, in a case that involves added surgical difficulty, for example the tooth's position near a nerve or sinus, an unusual root shape, or other complicating anatomy. It requires the same bone and gum access as a standard fully bony impaction, plus extra surgical steps to safely manage the complication. It is used only when those added factors are actually present, not for routine fully bony extractions.

Rates data updated October 2026.

How much rates vary

Facilitymedian $3,715 · 10th to 90th $3,715 to $3,981Professionalmedian $339 · 10th to 90th $295 to $513
$500$1K$2Kfacility $3,715professional $339

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$3,981.07
Aetna
Setting
Professional
Modifier
None
Typical Low
$338.84
Median
$338.84
Typical High
$338.84
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$263.03
Median
$346.74
Typical High
$512.86