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South Dakota rates for HCPCS 42821

Tonsillectomy & Adenoidectomy > Age 12

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.18 / $4,338.00 / $6,613.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.05 / $524.41 / $850.86
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.95 / $758.51 / $3,276.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$369.31 / $505.93 / $599.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00