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South Dakota rates for HCPCS 42842

Radical Resection Tonsil W/O Closure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$969.85 / $969.85 / $969.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$947.31 / $1,463.24 / $2,804.46
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,563.09 / $2,321.65 / $3,145.18
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,132.56 / $1,674.46 / $1,960.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00