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South Dakota rates for HCPCS 42971

Control of nasopharyngeal hemorrhage, primary or secondary (eg, postadenoidectomy); complicated, requiring hospitalization

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$426.58 / $426.58 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $478.63 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$741.31 / $1,047.13 / $1,318.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $630.96 / $1,288.25
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $724.44 / $3,388.44
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,000.00 / $1,047.13 / $1,122.02
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $933.25 / $933.25
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $741.31 / $891.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $724.44 / $1,230.27
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,071.52 / $1,071.52