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South Dakota rates for HCPCS 41823

Exc Oss Tuberosities Dentoalveolar Struxs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$350.16 / $516.29 / $516.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$316.62 / $460.31 / $516.29
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.64 / $1,065.42 / $1,534.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$366.10 / $633.62 / $1,200.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.78 / $974.69 / $3,917.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$658.98 / $903.77 / $1,297.60
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.00 / $853.65 / $1,182.57
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$517.19 / $727.76 / $1,010.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.03 / $918.27 / $1,428.42
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$722.00 / $883.30 / $1,252.40