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South Dakota rates for HCPCS 42235

Repair of anterior palate, including vomer flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$718.21 / $718.21 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.13 / $718.21 / $726.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,243.81 / $1,710.90 / $2,138.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$713.09 / $1,245.11 / $2,066.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$877.87 / $1,382.04 / $6,710.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,118.40 / $1,830.64 / $6,855.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$913.00 / $1,633.19 / $1,983.52
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$867.92 / $1,236.41 / $1,451.64
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
$896.79 / $1,463.12 / $2,022.13
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,440.10 / $1,762.00 / $1,762.00