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South Dakota rates for HCPCS 40650

Repair Lip Full Thickness Vermilion Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$297.54 / $467.02 / $467.02
Aetna
Facility/Professional
Facility
Modifier
54
Low / Median / High Price
$223.16 / $223.16 / $350.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.25 / $683.78 / $1,142.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$499.47 / $709.65 / $1,193.79
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$476.36 / $629.73 / $941.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00