go back

South Dakota rates for HCPCS 41155

Glossectomy; composite procedure with resection floor of mouth, mandibular resection, and radical neck dissection (Commando type)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $2,818.38 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $3,801.89 / $7,943.28
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,456.54 / $6,918.31 / $7,244.36
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $4,786.30 / $5,754.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26