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South Dakota rates for HCPCS 42860

Excision Tonsil Tags

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.10 / $187.10 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$169.46 / $187.10 / $272.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.51 / $451.88 / $564.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$192.54 / $316.20 / $531.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$219.32 / $360.53 / $1,464.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.70 / $485.55 / $3,276.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.70 / $430.66 / $506.37
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$233.01 / $317.37 / $385.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$212.76 / $337.66 / $525.25
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$382.50 / $468.00 / $468.00