go back

South Dakota rates for HCPCS 42835

Adenoidectomy Secondary < Age 12

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.84 / $190.84 / $190.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$173.12 / $190.75 / $963.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$335.88 / $462.01 / $577.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$196.74 / $326.76 / $544.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.21 / $361.78 / $1,496.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$278.61 / $496.32 / $3,276.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.00 / $426.74 / $517.28
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$225.67 / $324.91 / $393.96
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
$198.98 / $361.78 / $536.34
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$390.80 / $478.20 / $478.20