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South Carolina 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
$263.03 / $9,120.11 / $16,595.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $251.19 / $323.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $1,905.46 / $3,890.45
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $234.42 / $457.09
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $302.00 / $562.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $54.95