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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
$2,821.21 / $2,821.21 / $2,821.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,790.69 / $4,252.29 / $7,960.99
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,665.96 / $6,956.80 / $9,245.77
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,378.47 / $5,036.72 / $5,743.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00