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South Dakota rates for HCPCS 42335

Sialolithotomy; submandibular (submaxillary), complicated, intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $426.58 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $407.38 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $776.25 / $1,288.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$251.19 / $457.09 / $977.24
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.54 / $660.69 / $3,235.94
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $660.69 / $1,071.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $537.03 / $831.76
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $537.03 / $831.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$309.03 / $489.78 / $933.25
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $630.96 / $1,023.29