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South Dakota rates for HCPCS 41821

Oprculectomy Exc Pricoronal Tissue

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.48 / $51.48 / $2,290.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.07 / $51.48 / $54.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.19 / $125.44 / $156.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$65.88 / $91.01 / $155.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.72 / $102.02 / $772.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.39 / $133.77 / $1,544.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.00 / $112.92 / $129.83
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.00 / $77.00 / $100.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.55 / $96.71 / $150.44
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.20 / $109.10 / $109.10