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South Dakota rates for HCPCS 42826

Tonsillectomy Primary/Secondary > Age 12

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.70 / $3,993.30 / $7,598.64
Aetna
Facility/Professional
Facility
Modifier
52
Low / Median / High Price
$122.35 / $122.35 / $122.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$254.64 / $442.66 / $731.09
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$384.86 / $638.19 / $3,276.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$308.58 / $422.39 / $505.88
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00