go back

South Dakota rates for HCPCS 40800

Drainage of abscess, cyst, hematoma, vestibule of mouth; simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.82 / $199.53 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$114.82 / $190.55 / $288.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $363.08 / $616.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$147.91 / $269.15 / $562.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $398.11 / $1,513.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $295.12 / $478.63
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $257.04 / $426.58
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $281.84 / $398.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $1,659.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $302.00 / $575.44
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $288.40 / $478.63