go back

South Dakota rates for HCPCS D0460

Pulp Vitality Tests

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.02 / $11.02 / $11.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.75 / $33.19 / $75.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.11 / $283.32 / $283.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.56 / $36.22 / $45.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.04 / $32.11 / $36.22
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.10 / $47.10 / $47.10