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South Dakota rates for HCPCS 40806

Incision of labial frenum (frenotomy)

Facilitymedian $105 · 10th–90th $27–$4,3650%10%10th90th$105Professionalmedian $100 · 10th–90th $28–$2820%10%10th90th$100$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $100.00 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $100.00 / $436.52
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$70.79 / $100.00 / $302.00
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $104.71 / $281.84
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $190.55 / $812.83
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $72.44 / $229.09
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $63.10 / $204.17
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$47.86 / $138.04 / $194.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $87.10 / $269.15
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $70.79 / $234.42