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South Dakota rates for HCPCS 42409

Marsupialization Sublngl Salivary Cst Ranula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.41 / $390.56 / $390.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.00 / $346.34 / $649.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$391.38 / $672.95 / $1,137.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$252.27 / $497.52 / $876.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.10 / $702.85 / $2,945.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$512.00 / $791.73 / $2,389.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$442.30 / $626.91 / $910.24
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.40 / $489.63 / $760.68
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
$369.10 / $659.18 / $1,025.39
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$456.90 / $559.10 / $924.20