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South Dakota rates for HCPCS 42227

Lengthening of palate, with island flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$813.26 / $813.26 / $813.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$726.25 / $813.26 / $940.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,407.50 / $1,936.06 / $2,420.08
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$829.38 / $1,374.41 / $2,361.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,022.84 / $1,579.01 / $9,218.11
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,305.88 / $2,113.48 / $6,855.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,233.00 / $1,855.89 / $2,255.82
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.44 / $1,411.05 / $1,649.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,022.84 / $1,481.33 / $2,304.29
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,636.50 / $2,002.30 / $2,002.30