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South Dakota rates for HCPCS 40830

Closure Laceration Vestibule Mouth 2.5 Cm/<

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$125.62 / $195.54 / $478.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.69 / $476.48 / $655.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.42 / $752.28 / $1,665.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.76 / $442.60 / $634.49
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$214.62 / $330.46 / $449.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.42 / $752.28 / $785.96
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.60 / $349.40 / $530.79