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South Dakota rates for HCPCS 40510

Exc Lip Transvrs Wedge Exc W/Prim Clsr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$332.54 / $475.57 / $475.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$300.70 / $425.72 / $588.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$729.24 / $1,003.09 / $1,410.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$455.76 / $693.93 / $1,269.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.22 / $1,205.88 / $3,652.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.64 / $1,076.22 / $2,440.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$725.40 / $939.17 / $1,321.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$499.16 / $709.46 / $951.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.22 / $919.50 / $1,371.44
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$682.20 / $834.70 / $1,155.00