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South Dakota rates for HCPCS 42960

Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); simple

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.13 / $153.13 / $2,290.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.74 / $268.66 / $459.73
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.50 / $399.29 / $641.64
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$196.62 / $278.02 / $316.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00