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South Dakota rates for HCPCS 42845

Radical Rescj Tonsil Closure W/Other Flap

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,084.77 / $2,084.77 / $2,084.77
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,125.06 / $3,436.52 / $5,890.97
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,459.83 / $5,143.29 / $6,830.57
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,537.05 / $3,724.30 / $4,256.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00