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South Dakota rates for HCPCS D7311

Alveoloplasty In Conjunction With Extractions - One To Three Teeth Or Tooth Spaces, Per Quadrant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.10 / $155.10 / $155.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.03 / $155.10 / $155.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$124.67 / $251.98 / $262.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.47 / $902.23 / $902.23
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$138.47 / $264.04 / $1,367.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.47 / $177.78 / $264.04
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.30 / $143.30 / $143.30