go back

South Dakota rates for HCPCS 42107

Excision, lesion of palate, uvula; with local flap closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$314.22 / $441.50 / $441.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.22 / $441.50 / $734.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$546.58 / $939.79 / $1,298.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$386.46 / $619.41 / $1,218.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.19 / $974.97 / $3,315.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$707.03 / $1,023.02 / $5,269.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$647.00 / $883.93 / $1,225.01
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$462.22 / $639.78 / $864.64
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
$510.70 / $839.86 / $1,306.45
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.70 / $776.60 / $1,058.40