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South Dakota rates for HCPCS 42100

Biopsy Palate Uvula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105.58 / $143.10 / $143.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$105.58 / $143.10 / $213.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.35 / $318.04 / $421.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.98 / $207.24 / $392.97
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.74 / $317.52 / $1,090.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$216.65 / $273.63 / $391.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.32 / $282.72 / $372.31
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.78 / $216.71 / $280.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.32 / $278.52 / $416.22
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$215.00 / $263.00 / $343.10