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South Dakota rates for HCPCS 40810

Excision of lesion of mucosa and submucosa, vestibule of mouth; without repair

Facilitymedian $214 · 10th–90th $117–$4,3650%20%10th90th$214Professionalmedian $214 · 10th–90th $120–$4170%10%10th90th$214$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
$117.49 / $213.80 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$117.49 / $190.55 / $309.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$288.40 / $363.08 / $645.65
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $288.40 / $537.03
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $398.11 / $1,621.81
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$269.15 / $288.40 / $478.63
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $257.04 / $436.52
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$204.17 / $302.00 / $416.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,995.26 / $1,995.26 / $6,760.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $316.23 / $575.44
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $288.40 / $501.19