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South Dakota rates for HCPCS 42892

Resection of lateral pharyngeal wall or pyriform sinus, direct closure by advancement of lateral and posterior pharyngeal walls

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $4,365.16 / $6,918.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $2,398.83 / $5,011.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,073.80 / $4,365.16 / $4,570.88
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,137.96 / $3,019.95 / $3,630.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $4,466.84