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South Dakota rates for HCPCS 40654

Rpr Lip Fth Over One-Half Vert Height/Complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$405.97 / $568.41 / $568.41
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$405.97 / $568.41 / $824.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.55 / $1,228.06 / $1,698.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$527.22 / $835.26 / $1,487.07
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.33 / $1,425.83 / $4,369.43
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$886.99 / $1,150.42 / $1,584.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.70 / $1,125.64 / $1,564.59
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.42 / $855.60 / $1,147.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,962.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.40 / $1,140.66 / $1,619.91
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$836.20 / $1,023.10 / $1,392.90