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South Dakota rates for HCPCS 42845

Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with other flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.30 / $2,089.30 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,862.09 / $2,884.03 / $5,888.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,786.30 / $5,128.61 / $5,370.32
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,511.89 / $3,548.13 / $4,265.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26