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South Dakota rates for HCPCS D7321

Alveoloplsty Not Cnjnc Xtrct 1-3 Teeth/Spce Quad

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.93 / $225.93 / $225.93
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$221.07 / $225.93 / $225.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.00 / $367.08 / $381.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.02 / $1,328.36 / $1,328.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.41 / $360.07 / $1,314.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.85 / $273.29 / $388.69
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.00 / $134.00 / $134.00