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South Dakota rates for HCPCS 42836

Adenoidectomy Secondary > Age 12

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$235.01 / $235.01 / $235.01
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.70 / $235.01 / $400.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$412.34 / $567.17 / $708.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$243.22 / $410.07 / $679.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$286.63 / $460.02 / $1,847.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$368.47 / $612.76 / $3,276.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$374.00 / $548.03 / $643.86
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$296.02 / $404.98 / $487.12
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
$262.75 / $429.52 / $668.14
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$483.20 / $591.29 / $591.29