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South Dakota rates for HCPCS 42106

Excision, lesion of palate, uvula; with simple primary closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.75 / $249.54 / $249.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.75 / $249.54 / $289.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.45 / $465.51 / $733.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.24 / $340.17 / $716.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.70 / $583.21 / $1,868.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$355.88 / $423.51 / $694.72
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$348.65 / $435.96 / $688.17
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$246.89 / $342.38 / $485.57
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
$286.31 / $485.57 / $755.33
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.80 / $384.00 / $594.40