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South Dakota rates for HCPCS 41520

Frenoplasty Surg Revj Frenum Eg W/Z-Plasty

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$242.68 / $360.25 / $360.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.68 / $341.05 / $498.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$422.53 / $726.51 / $1,054.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$298.41 / $489.66 / $929.33
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.00 / $748.36 / $2,727.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$539.22 / $795.49 / $2,389.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$479.00 / $679.76 / $952.60
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$362.15 / $494.23 / $702.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.09 / $643.99 / $1,001.76
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.30 / $599.90 / $858.20