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South Dakota rates for HCPCS 21031

Excision Torus Mandibularis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.05 / $331.30 / $842.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.34 / $793.71 / $1,114.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.05 / $899.07 / $2,857.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$579.60 / $730.20 / $1,031.27
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.86 / $534.99 / $742.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.73 / $710.05 / $1,104.52
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$530.70 / $649.40 / $901.40