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South Dakota rates for HCPCS 42409

Marsupialization of sublingual salivary cyst (ranula)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.87 / $389.05 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$223.87 / $371.54 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $691.83 / $1,174.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$218.78 / $389.05 / $870.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $602.56 / $2,951.21
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $575.44 / $977.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $467.74 / $707.95
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $478.63 / $758.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $446.68 / $831.76
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $562.34 / $933.25