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South Dakota rates for HCPCS 42725

I&D Absc Rtrphrngl/Parapharyngeal Xtrnl Appr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$750.67 / $750.67 / $3,073.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$743.12 / $1,268.63 / $2,266.83
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,252.33 / $1,974.77 / $6,855.77
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$926.88 / $1,373.11 / $1,565.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00