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South Dakota rates for HCPCS 40810

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$118.65 / $214.44 / $214.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$118.65 / $200.98 / $359.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$284.33 / $456.66 / $628.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$152.99 / $291.81 / $543.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.64 / $571.51 / $1,611.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.51 / $344.05 / $563.51
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.00 / $376.46 / $563.51
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$178.93 / $308.52 / $416.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.37 / $383.85 / $597.10
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.10 / $291.30 / $505.70