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South Dakota rates for HCPCS 42830

Adenoidectomy Primary <Age 12

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,732.14 / $3,130.54 / $6,719.27
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$202.40 / $222.65 / $3,147.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$359.66 / $494.73 / $618.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$212.50 / $370.26 / $607.05
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$243.35 / $397.25 / $1,603.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.95 / $531.71 / $3,276.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$314.00 / $475.25 / $556.45
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.84 / $349.28 / $422.43
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
$236.80 / $395.35 / $577.61
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$419.10 / $512.70 / $512.70