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South Dakota rates for HCPCS D7240

Removal Of Impacted Tooth - Completely Bony

Facilitymedian $229 · 10th–90th $209$4,3650%20%40%10th90th$229Professionalmedian $209 · 10th–90th $182$5500%20%40%10th90th$209$200.0$500.0$1.0K$2.0K

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$208.93 / $208.93 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $204.17 / $549.54
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $346.74 / $512.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $446.68 / $1,348.96
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$323.59 / $363.08 / $446.68
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$363.08 / $363.08 / $363.08
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $416.87 / $416.87