go back

South Dakota rates for HCPCS 42950

Pharyngoplasty Plstc/Rcnstv Opration Pharynx

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$773.39 / $773.39 / $3,073.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$772.85 / $1,307.03 / $2,226.23
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,260.28 / $1,960.16 / $6,855.77
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$985.97 / $1,333.30 / $1,547.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00