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South Dakota rates for HCPCS 21045

Excision Malignant Tumor Mandible Radical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,203.84 / $1,203.84 / $1,203.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,485.03 / $2,023.99 / $3,244.57
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,871.91 / $2,759.91 / $3,694.78
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,466.77 / $2,051.15 / $2,338.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00