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South Dakota rates for HCPCS 40819

Excision of frenum, labial or buccal (frenumectomy, frenulectomy, frenectomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.82 / $263.50 / $263.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.62 / $263.50 / $428.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.32 / $589.19 / $796.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$265.66 / $399.13 / $823.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$384.67 / $766.10 / $2,017.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$484.87 / $609.02 / $1,150.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.00 / $539.79 / $721.68
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.47 / $396.55 / $532.04
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
$351.38 / $567.61 / $800.41
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$393.40 / $481.30 / $643.90