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South Dakota rates for HCPCS 40816

Excision of lesion of mucosa and submucosa, vestibule of mouth; complex, with excision of underlying muscle

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.42 / $392.58 / $392.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.97 / $351.65 / $736.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$679.11 / $877.46 / $1,167.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$392.85 / $594.29 / $1,065.35
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.38 / $1,080.55 / $3,009.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$620.00 / $930.22 / $2,389.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$567.00 / $807.80 / $1,066.27
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$409.70 / $597.09 / $784.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $6,486.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.38 / $809.56 / $1,128.93
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$592.29 / $724.70 / $952.40