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South Dakota rates for HCPCS 42425

Excision Parotid Tumor/Gland Total En Bloc Rmvl

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$791.14 / $791.14 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$829.15 / $1,425.32 / $2,367.69
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,279.17 / $2,076.76 / $6,855.77
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,021.25 / $1,404.66 / $1,643.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00