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South Dakota rates for HCPCS 21040

Excision Benign Tumor/Cyst Mandible Encl & Curt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.15 / $481.05 / $481.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$310.02 / $420.69 / $866.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$768.18 / $1,056.65 / $1,352.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.89 / $673.94 / $1,164.83
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$520.65 / $1,171.18 / $3,461.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$804.94 / $1,023.50 / $3,276.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.76 / $975.21 / $1,251.02
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$472.73 / $715.47 / $906.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $6,486.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.37 / $926.06 / $1,403.53
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$709.80 / $868.40 / $1,100.90