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South Dakota rates for HCPCS 42892

Rescj Lat Phrngl Wall/Pyriform Sinus Dir Clsr

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,769.83 / $1,769.83 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,724.37 / $2,673.19 / $4,979.29
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,926.30 / $4,573.59 / $6,855.77
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,049.85 / $3,152.23 / $3,602.59
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00