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South Dakota rates for HCPCS 42182

Repair, laceration of palate; over 2 cm or complex

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.64 / $319.33 / $319.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.83 / $284.82 / $327.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$425.37 / $719.06 / $937.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.82 / $491.99 / $832.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.74 / $669.80 / $2,460.71
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$530.00 / $796.71 / $5,269.25
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$486.00 / $655.86 / $873.31
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$355.01 / $505.88 / $632.63
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
$350.85 / $584.98 / $909.97
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.80 / $614.00 / $775.80