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South Dakota rates for HCPCS 41150

Glssc Composit W/Rescj Floor & Mandibular Rescj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,084.61 / $2,084.61 / $2,084.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,073.39 / $3,443.02 / $5,786.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,409.10 / $5,072.21 / $6,799.26
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,491.80 / $3,665.12 / $4,237.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00