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South Dakota rates for HCPCS 42835

Adenoidectomy, secondary; younger than age 12

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $190.55 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.78 / $213.80 / $512.86
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $467.74 / $588.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$173.78 / $309.03 / $562.34
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $288.40 / $1,513.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $436.52 / $501.19
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $380.19 / $380.19
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$199.53 / $316.23 / $398.11
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
$186.21 / $309.03 / $512.86
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $478.63 / $478.63