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South Dakota rates for HCPCS 41007

Intraoral I&D Tongue/Floor Submental Space

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.23 / $320.76 / $320.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.63 / $286.73 / $342.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$378.36 / $650.54 / $965.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.27 / $440.46 / $938.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.96 / $795.15 / $2,453.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$553.00 / $724.16 / $1,166.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.26 / $589.69 / $880.48
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$327.96 / $471.96 / $643.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$423.96 / $614.48 / $963.55
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.40 / $533.90 / $781.30