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South Dakota rates for HCPCS 21046

Excision of benign tumor or cyst of mandible; requiring intra-oral osteotomy (eg, locally aggressive or destructive lesion[s])

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,187.76 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,071.52 / $2,570.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,344.23 / $2,884.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,318.26 / $1,659.59 / $2,951.21
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,905.46 / $9,120.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,511.89 / $2,511.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.76 / $2,187.76 / $2,511.89
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,698.24 / $1,949.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $4,466.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $1,905.46 / $3,090.30
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,238.72 / $2,344.23