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South Dakota rates for HCPCS 42821

Tonsillectomy and adenoidectomy; age 12 or over

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,398.83 / $4,365.16 / $6,606.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $478.63 / $870.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $691.83 / $758.58
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $501.19 / $602.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53