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South Dakota rates for HCPCS 42340

Sialolithotomy; parotid, extraoral or complicated intraoral

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $524.81 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $501.19 / $851.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $1,023.29 / $1,548.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$338.84 / $588.84 / $1,202.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $812.83 / $3,981.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $851.14 / $1,318.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $691.83 / $1,023.29
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $676.08 / $1,023.29
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
$398.11 / $645.65 / $1,148.15
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $831.76 / $1,258.93