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South Dakota rates for HCPCS D7260

Oroantral Fistula Closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$351.99 / $351.99 / $351.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.99 / $351.99 / $632.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$571.90 / $594.86 / $1,424.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.12 / $3,763.97 / $3,763.97
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$526.10 / $779.83 / $1,184.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.66 / $886.33 / $1,224.92
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.00 / $738.00 / $738.00