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South Dakota rates for HCPCS 42844

Radical Rescj Tonsil Closure W/Local Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,315.30 / $1,315.30 / $1,315.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,310.68 / $2,196.14 / $3,862.89
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,151.67 / $3,193.55 / $4,266.24
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,563.55 / $2,302.81 / $2,667.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00