go back

South Dakota rates for HCPCS 42426

Exc Prtd Tum/Prtd Glnd Tot W/Uni Rad Nck Dsj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,261.94 / $1,261.94 / $1,261.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,329.67 / $2,275.36 / $3,600.53
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,066.34 / $3,097.05 / $4,161.93
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,642.21 / $2,271.48 / $2,632.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00