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South Dakota rates for HCPCS 42972

Control Nasopharyngeal Hemorrhage W/Sec Surg Ivntj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$481.46 / $481.46 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.96 / $481.46 / $504.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$835.44 / $1,149.17 / $1,436.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$496.05 / $813.67 / $1,448.56
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.14 / $968.77 / $3,793.76
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$782.77 / $1,258.99 / $3,276.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$782.77 / $1,117.89 / $1,348.77
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.12 / $861.02 / $993.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$606.14 / $1,015.01 / $1,399.83
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$985.70 / $1,206.09 / $1,206.09