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South Dakota rates for HCPCS 42450

Exision Of Sublingual Gland

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$349.43 / $458.96 / $458.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$403.25 / $690.50 / $1,180.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$717.00 / $1,097.24 / $5,269.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.23 / $718.06 / $903.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00