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South Dakota rates for HCPCS 21044

Excision Malignant Tumor Mandible

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$867.41 / $867.41 / $867.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,102.51 / $1,432.60 / $2,326.71
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,337.12 / $2,132.88 / $6,855.77
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,056.00 / $1,474.29 / $1,687.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00