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West Virginia 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
$191.93 / $191.93 / $1,400.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.93 / $273.32 / $286.44