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South Dakota rates for HCPCS 42330

Sialot Submndblr Sublngl/Prtd Uncomp Intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.22 / $228.23 / $228.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.22 / $228.22 / $233.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.83 / $474.28 / $674.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$195.48 / $312.52 / $612.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$268.01 / $488.40 / $1,748.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$334.32 / $429.93 / $619.29
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.00 / $437.36 / $619.29
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.83 / $324.74 / $447.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.34 / $418.37 / $650.79
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$322.20 / $394.20 / $552.00