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South Dakota rates for HCPCS 42860

Excision of tonsil tags

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$186.21 / $3,548.13 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $204.17 / $346.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $467.74 / $575.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $281.84 / $537.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $302.00 / $1,479.11
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $436.52 / $489.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $389.05 / $389.05
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.80 / $316.23 / $389.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$181.97 / $302.00 / $524.81
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $467.74 / $467.74