go back

South Dakota rates for HCPCS 42408

Exc Sublingual Salivary Cyst Ranula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$336.30 / $535.92 / $535.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.17 / $473.70 / $535.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$590.19 / $1,014.78 / $1,574.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$374.64 / $680.47 / $1,193.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$527.03 / $996.66 / $4,039.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$705.08 / $1,082.97 / $2,389.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.45 / $899.83 / $1,245.05
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.20 / $687.01 / $1,039.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.92 / $958.30 / $1,490.69
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.50 / $833.90 / $1,274.40