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South Dakota rates for HCPCS 42809

Removal Foreign Body Pharynx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$119.18 / $198.23 / $198.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119.18 / $165.90 / $312.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.30 / $356.44 / $590.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$154.83 / $287.17 / $456.95
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.81 / $421.81 / $1,540.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.01 / $390.02 / $634.05
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$256.95 / $339.05 / $535.82
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$184.24 / $252.49 / $389.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.57 / $381.34 / $564.16
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.10 / $299.89 / $483.70