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South Dakota rates for HCPCS D7210

Extraction, Erupted Tooth Requiring Removal Of Bone And/Or Sectioning Of Tooth, And Including Elevation Of Mucoperiosteal Flap If Indicated

Facilitymedian $117 · 10th–90th $117–$1950%50%90th$117Professionalmedian $115 · 10th–90th $95–$3630%20%10th90th$115$100.0$200.0$500.0

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
$104.71 / $117.49 / $117.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $114.82 / $363.08
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$128.82 / $190.55 / $269.15
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $295.12 / $724.44
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $190.55 / $295.12
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $190.55 / $190.55
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $223.87 / $223.87