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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
$329.13 / $522.40 / $522.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$325.49 / $454.18 / $522.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.90 / $988.48 / $1,528.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.99 / $713.07 / $1,231.42
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$535.19 / $978.89 / $3,975.68
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$731.00 / $1,103.07 / $2,389.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$667.04 / $922.79 / $1,330.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$514.16 / $684.87 / $1,023.11
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
$610.25 / $1,126.83 / $1,393.67
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$673.20 / $823.70 / $1,249.30