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South Dakota rates for HCPCS 40830

Closure of laceration, vestibule of mouth; 2.5 cm or less

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $194.98 / $281.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $436.52 / $676.08
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $537.03 / $1,659.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $380.19 / $616.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $346.74 / $575.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $323.59 / $457.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$218.78 / $354.81 / $758.58
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $346.74 / $524.81