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South Dakota rates for HCPCS 41823

Excision of osseous tuberosities, dentoalveolar structures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $512.86 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $489.78 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $1,096.48 / $1,584.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.23 / $537.03 / $1,202.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $831.76 / $3,890.45
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $912.01 / $1,288.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $691.83 / $912.01
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $724.44 / $1,023.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $676.08 / $1,148.15
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $891.25 / $1,258.93