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South Dakota rates for HCPCS D7111

Extraction, Coronal Remnants - Primary Tooth

Facilitymedian $58 · 10th–90th $58–$980%50%90th$58Professionalmedian $58 · 10th–90th $45–$620%20%40%10th90th$58$50.0$100.0$200.0

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
$46.77 / $57.54 / $57.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $57.54 / $61.66
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $95.50 / $123.03
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $128.82 / $354.81
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $89.13 / $128.82
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $79.43
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$102.33 / $102.33 / $102.33