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South Dakota rates for HCPCS 40840

Vestibuloplasty; anterior

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $831.76 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,148.15 / $2,137.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $1,445.44 / $1,862.09
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,288.25 / $1,659.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53