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South Dakota rates for HCPCS 42000

Drainage of abscess of palate, uvula

Facilitymedian $166 · 10th–90th $105–$3,0900%10%10th90th$166Professionalmedian $158 · 10th–90th $105–$3240%10%10th90th$158$50.0$100.0$200.0$500.0$1.0K$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$104.71 / $158.49 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $154.88 / $199.53
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$186.21 / $323.59 / $467.74
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $199.53 / $407.38
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$147.91 / $275.42 / $1,202.26
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $269.15 / $354.81
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $213.80 / $323.59
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$158.49 / $213.80 / $309.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$812.83 / $812.83 / $812.83
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$125.89 / $208.93 / $354.81
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$213.80 / $263.03 / $380.19