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South Dakota rates for HCPCS 41009

Intraoral I&D Tongue/Floor Masticator Space

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$273.05 / $414.40 / $414.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.73 / $369.67 / $419.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.14 / $830.72 / $1,234.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.99 / $531.03 / $1,054.78
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$448.50 / $856.23 / $3,156.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$504.65 / $709.22 / $1,107.31
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$557.00 / $763.83 / $1,107.31
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.49 / $564.74 / $806.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.52 / $794.07 / $1,169.14
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.20 / $685.50 / $1,002.70