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South Dakota rates for HCPCS 40812

Excision of lesion of mucosa and submucosa, vestibule of mouth; with simple repair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$177.83 / $3,981.07 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.83 / $275.42 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $549.54 / $831.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $363.08 / $758.58
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $549.54 / $2,041.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $446.68 / $660.69
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $588.84
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $407.38 / $537.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $426.58 / $776.25
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $436.52 / $645.65