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South Dakota rates for HCPCS 41899

Unlisted Procedure Dentoalveolar Structures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,733.21 / $7,506.00 / $16,290.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.00 / $7,628.18 / $8,376.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $1,463.45 / $3,944.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,716.00 / $1,716.00 / $1,716.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00