go back

Wisconsin 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
$234.42 / $234.42 / $17,782.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $269.15 / $407.38
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $446.68 / $977.24
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $281.84 / $588.84
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $173.78 / $173.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.42 / $281.84 / $588.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $1,819.70 / $1,819.70
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.12 / $54.95 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $724.44 / $1,023.29
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,467.37 / $3,467.37 / $5,011.87
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,819.70 / $1,819.70
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $489.78 / $489.78
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $489.78 / $537.03