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South Dakota rates for HCPCS 40530

Resection of lip, more than one-fourth, without reconstruction

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.15 / $541.91 / $541.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.20 / $787.59 / $1,413.89
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$897.37 / $1,255.58 / $2,440.29
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$571.34 / $808.82 / $1,084.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00