go back

South Dakota rates for HCPCS 21045

Excision of malignant tumor of mandible; radical resection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.26 / $1,202.26 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,479.11 / $2,041.74 / $3,235.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $2,818.38 / $2,818.38
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $2,041.74 / $2,344.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $4,466.84