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South Dakota rates for HCPCS D7140

Extraction Erupted Tooth Or Exposed Root

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.80 / $64.80 / $64.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.50 / $57.50 / $64.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$77.59 / $105.27 / $109.51
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.34 / $402.94 / $402.94
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.00 / $117.90 / $1,562.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.00 / $109.21 / $129.46
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.10 / $130.10 / $130.10