go back

South Dakota rates for HCPCS 42405

Biopsy Salivary Gland Incisional

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$215.54 / $294.92 / $294.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.54 / $291.00 / $601.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$375.52 / $645.67 / $873.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$228.00 / $416.33 / $774.43
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.73 / $625.04 / $2,276.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$492.00 / $697.67 / $1,166.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.00 / $591.50 / $799.72
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$311.08 / $445.71 / $581.91
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
$334.11 / $565.86 / $840.67
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.20 / $541.00 / $720.80