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South Dakota rates for HCPCS 42320

Drainage Abscess Submaxillary Intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$171.40 / $255.81 / $255.81
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.46 / $227.34 / $257.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$299.06 / $514.21 / $747.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.98 / $333.02 / $647.72
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$282.02 / $521.85 / $2,401.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$388.00 / $527.62 / $685.38
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.70 / $485.20 / $685.38
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$258.35 / $352.56 / $502.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$273.35 / $461.74 / $718.26
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$349.80 / $427.90 / $611.70