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South Dakota rates for HCPCS 21032

Excision Maxillary Torus Palatinus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.56 / $384.71 / $384.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.61 / $321.75 / $829.07
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$555.07 / $763.52 / $1,093.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$377.90 / $543.76 / $890.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.70 / $904.95 / $2,778.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$568.78 / $652.26 / $994.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$568.78 / $696.57 / $994.00
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.88 / $516.23 / $730.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$360.50 / $710.53 / $1,105.27
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.10 / $626.60 / $886.50