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South Dakota rates for HCPCS 42870

Exc/Dstrj Lingual Tonsil Any Method Spx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$574.44 / $574.44 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.58 / $970.80 / $1,623.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$918.22 / $1,450.02 / $6,855.77
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$643.67 / $973.00 / $1,145.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00