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South Dakota rates for HCPCS 41010

Incision Lingual Frenum Frenotomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.64 / $216.17 / $216.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.56 / $205.97 / $792.10
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.40 / $317.48 / $621.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.50 / $267.26 / $527.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.96 / $427.56 / $1,605.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.50 / $462.87 / $1,166.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.63 / $305.52 / $559.74
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.12 / $255.16 / $411.43
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
$223.96 / $392.14 / $593.67
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.10 / $260.70 / $499.40