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South Dakota rates for HCPCS 42180

Repair Laceration Palate <2 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$178.78 / $249.12 / $249.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$161.19 / $221.34 / $252.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.52 / $535.63 / $727.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$206.42 / $344.82 / $633.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.69 / $511.90 / $1,900.48
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$383.00 / $517.52 / $672.27
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.05 / $483.77 / $672.27
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.95 / $368.73 / $490.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.14 / $469.05 / $702.18
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$365.80 / $447.60 / $598.29