go back

South Dakota rates for HCPCS 42831

Adenoidectomy, primary; age 12 or over

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$222.59 / $222.59 / $222.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221.58 / $397.69 / $629.38
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$342.52 / $578.02 / $3,276.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.60 / $375.39 / $458.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00