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South Dakota rates for HCPCS 40820

Destruction of lesion or scar of vestibule of mouth by physical methods (eg, laser, thermal, cryo, chemical)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162.78 / $256.89 / $256.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.78 / $256.89 / $406.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.43 / $535.37 / $747.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.58 / $361.66 / $699.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.70 / $709.72 / $1,924.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$361.71 / $448.18 / $695.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$342.54 / $483.56 / $695.70
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.70 / $367.99 / $493.58
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
$325.70 / $542.84 / $741.50
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$318.89 / $390.20 / $599.10