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South Dakota rates for HCPCS 42000

Drainage of abscess of palate, uvula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$104.40 / $157.99 / $801.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.58 / $140.50 / $158.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.51 / $315.54 / $461.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.61 / $214.93 / $410.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.89 / $338.77 / $1,197.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.07 / $299.14 / $420.97
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.88 / $294.25 / $420.97
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.13 / $214.77 / $308.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.45 / $296.06 / $442.23
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.10 / $260.70 / $376.10