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South Dakota rates for HCPCS 42450

Excision of sublingual gland

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $457.09 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$354.81 / $588.84 / $1,122.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $912.01 / $1,174.90
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $707.95 / $912.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53