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South Dakota rates for HCPCS 42961

Control oropharyngeal hemorrhage, primary or secondary (eg, post-tonsillectomy); complicated, requiring hospitalization

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$363.08 / $575.44 / $1,202.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $954.99 / $1,047.13
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $691.83 / $831.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53