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South Dakota rates for HCPCS 42810

Exc Branchial Cleft Cyst Confined Skn&Subq Tis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$272.23 / $381.76 / $381.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$272.23 / $381.76 / $584.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$475.78 / $818.06 / $1,126.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.77 / $525.87 / $1,008.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.20 / $814.97 / $2,915.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$603.37 / $869.74 / $2,389.42
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$584.66 / $752.25 / $1,031.36
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$394.24 / $558.27 / $746.73
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
$404.76 / $695.29 / $1,081.56
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.79 / $677.60 / $920.30