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South Dakota rates for HCPCS 40525

Excision of lip; full thickness, reconstruction with local flap (eg, Estlander or fan)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$524.81 / $3,090.30 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$676.08 / $891.25 / $1,548.82
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,148.15 / $1,258.93 / $1,258.93
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.96 / $933.25 / $1,071.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53