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South Dakota rates for HCPCS 41826

Exc Lesion/Tumor Dentoalveolar Strux W/Smpl Rpr

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.21 / $261.05 / $318.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.34 / $569.72 / $874.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$320.77 / $673.62 / $2,222.08
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$373.98 / $529.64 / $817.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.49 / $395.59 / $577.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$352.85 / $571.79 / $889.45
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.20 / $466.40 / $705.90