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South Dakota rates for HCPCS 42700

Incision and drainage abscess; peritonsillar

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$130.26 / $406.60 / $3,547.68
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.90 / $187.09 / $738.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$227.69 / $391.50 / $554.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$161.05 / $269.01 / $494.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.36 / $399.04 / $1,434.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$236.07 / $337.33 / $511.92
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.62 / $359.00 / $511.92
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$190.57 / $268.45 / $369.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.02 / $354.53 / $535.78
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$266.30 / $325.89 / $453.80