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South Dakota rates for HCPCS 42226

Lengthening of palate, and pharyngeal flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$870.96 / $4,365.16 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $954.99 / $1,995.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,513.56 / $2,137.96 / $2,691.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $1,288.25 / $2,570.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,445.44 / $9,120.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,995.26 / $2,041.74 / $2,238.72
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,819.70 / $1,819.70 / $1,819.70
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,479.11 / $1,778.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $4,466.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,445.44 / $2,454.71
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $2,137.96 / $2,137.96