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South Dakota rates for HCPCS D4266

Guided Tissue Regeneration, Natural Teeth - Resorbable Barrier, Per Site

Facilitymedian $302 · 10th–90th $251–$4900%50%10th90th$302Professionalmedian $245 · 10th–90th $204–$3020%20%40%10th90th$245$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$213.80 / $302.00 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $245.47 / $302.00
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $489.78 / $724.44
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $281.84 / $1,737.80
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $275.42 / $457.09
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$338.84 / $338.84 / $338.84
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$575.44 / $575.44 / $575.44