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South Dakota rates for HCPCS 41006

Intraoral I&D Tongue/Floor Sublngl Dp Sprmlhyd

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.67 / $295.37 / $348.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.21 / $677.82 / $994.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.93 / $810.37 / $2,529.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.42 / $618.51 / $896.64
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.34 / $479.69 / $659.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$429.56 / $625.77 / $973.42
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.30 / $558.29 / $807.20