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South Dakota rates for HCPCS D7953

Bone Replacement Graft For Ridge Preservation - Per Site

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$557.08 / $557.08 / $557.08
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.23 / $89.23 / $557.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.91 / $905.11 / $941.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.25 / $3,202.34 / $3,202.34
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.00 / $780.42 / $1,310.92
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.88 / $248.12 / $847.16
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,780.00 / $1,780.00 / $1,780.00