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South Dakota rates for HCPCS 41874

Alveoloplasty Each Quadrant Specify

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.10 / $373.45 / $10,072.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$300.10 / $508.98 / $1,000.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$551.67 / $641.57 / $1,038.94
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$377.54 / $500.18 / $725.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00