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South Dakota rates for HCPCS D9951

Occlusal Adjustment - Limited

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.66 / $42.66 / $42.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $38.02 / $42.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.86 / $69.18 / $114.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $69.18 / $281.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.10 / $69.18 / $89.13
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.13 / $89.13 / $89.13
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $93.33 / $93.33