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South Dakota rates for HCPCS 41005

Intraoral I&D Tongue/Floor Sublngl Supfc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.13 / $200.37 / $237.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.57 / $343.78 / $667.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.05 / $485.00 / $1,692.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$238.20 / $333.72 / $579.66
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$172.66 / $282.08 / $441.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.05 / $410.38 / $619.50
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.70 / $281.10 / $535.50