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South Dakota rates for HCPCS 41116

Excision, lesion of floor of mouth

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$208.93 / $338.84 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$208.93 / $323.59 / $575.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $645.65 / $1,000.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$213.80 / $371.54 / $794.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $549.54 / $2,454.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $537.03 / $831.76
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $446.68 / $691.83
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.23 / $426.58 / $645.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $436.52 / $724.44
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $512.86 / $776.25