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South Dakota rates for HCPCS 41800

Drainage of abscess, cyst, hematoma from dentoalveolar structures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.94 / $406.60 / $612.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.00 / $292.27 / $701.45
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$347.95 / $473.44 / $914.58
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.99 / $358.51 / $557.20
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00