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South Dakota rates for HCPCS 41017

Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submandibular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $457.09 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $549.54 / $1,122.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $851.14 / $1,148.15
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $676.08 / $891.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26