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Utah 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
$223.87 / $3,388.44 / $6,025.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $257.04 / $457.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $44.67 / $371.54
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $331.13 / $331.13
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $398.11 / $446.68