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South Dakota rates for HCPCS 40500

Vermilionectomy Lip Shv W/Mucosal Advmnt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.79 / $516.23 / $516.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.89 / $463.21 / $516.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$808.99 / $1,072.24 / $1,530.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$463.21 / $752.01 / $1,322.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.24 / $1,265.30 / $3,952.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$779.00 / $1,155.02 / $2,440.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$713.00 / $994.25 / $1,407.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.47 / $765.41 / $1,026.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$556.73 / $968.50 / $1,450.06
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$723.30 / $884.90 / $1,246.09