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South Dakota rates for HCPCS 40840

Vestibuloplasty; anterior

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$599.36 / $835.84 / $835.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$775.18 / $1,261.94 / $2,153.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,302.00 / $1,955.32 / $5,105.35
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$883.44 / $1,244.33 / $1,669.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00