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South Dakota rates for HCPCS D7210

Extraction Eru Tooth Rqr Remv Bone &/Sectn Tooth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$117.18 / $117.18 / $117.18
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.40 / $101.40 / $117.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.63 / $190.36 / $198.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.96 / $728.46 / $728.46
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$165.00 / $245.97 / $1,367.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.00 / $197.28 / $293.83
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.60 / $223.60 / $223.60