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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
$176.82 / $276.30 / $8,550.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$189.00 / $278.12 / $418.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.49 / $583.94 / $803.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$226.38 / $409.01 / $762.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.74 / $776.24 / $2,064.23
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$401.02 / $490.96 / $767.88
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.86 / $517.76 / $767.88
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$265.75 / $399.34 / $535.63
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
$340.50 / $521.35 / $810.99
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.60 / $432.60 / $650.10