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South Dakota rates for HCPCS 42330

Sialolithotomy; submandibular (submaxillary), sublingual or parotid, uncomplicated, intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $229.09 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$158.49 / $229.09 / $478.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$275.42 / $489.78 / $691.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $288.40 / $602.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $380.19 / $1,737.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $407.38 / $575.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $338.84 / $478.63
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $323.59 / $457.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.98 / $316.23 / $512.86
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.59 / $398.11 / $549.54