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South Dakota rates for HCPCS 42825

Tonsillectomy, primary or secondary; younger than age 12

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.73 / $2,535.05 / $2,535.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.22 / $280.75 / $3,829.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.99 / $621.72 / $777.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$267.91 / $465.78 / $738.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.08 / $502.07 / $2,020.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$400.71 / $670.32 / $6,855.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$400.71 / $598.97 / $703.97
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.66 / $439.79 / $532.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$304.08 / $543.91 / $742.14
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$528.20 / $646.20 / $646.20