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South Dakota rates for HCPCS 41820

Gingivectomy, excision gingiva, each quadrant

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$229.43 / $229.43 / $2,290.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.50 / $229.43 / $240.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.14 / $553.16 / $691.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.01 / $403.74 / $691.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$260.36 / $450.52 / $1,800.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.30 / $596.79 / $3,276.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$341.00 / $478.81 / $550.48
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.99 / $255.99 / $332.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $6,486.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.67 / $427.05 / $664.30
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.10 / $427.10 / $427.10