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South Dakota rates for HCPCS 42830

Adenoidectomy, primary; younger than age 12

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,238.72 / $3,162.28 / $6,760.83
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $371.54 / $933.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $501.19 / $630.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$199.53 / $346.74 / $2,454.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $331.13 / $1,584.89
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $478.63 / $537.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $426.58 / $426.58
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $346.74 / $426.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $331.13 / $575.44
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $512.86 / $512.86