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South Dakota rates for HCPCS 42440

Excision Submandibular Submaxillary Gland

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.02 / $395.02 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$411.64 / $771.64 / $1,165.58
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$629.69 / $1,034.18 / $6,855.77
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$511.20 / $694.52 / $817.03
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$152.24 / $152.24 / $152.24
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$152.24 / $152.24 / $152.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00