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South Dakota rates for HCPCS 41140

Glossectomy; complete or total, with or without tracheostomy, without radical neck dissection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,073.71 / $2,073.71 / $2,073.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,850.24 / $2,073.71 / $2,177.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,558.12 / $4,894.31 / $6,117.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,036.33 / $3,504.59 / $5,757.53
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,578.92 / $4,164.85 / $16,089.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,390.27 / $5,037.88 / $6,761.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,857.00 / $4,728.49 / $5,862.04
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,505.21 / $3,647.72 / $4,202.91
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
$2,408.52 / $3,889.30 / $6,050.02
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,169.39 / $5,101.39 / $5,101.39