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South Dakota rates for HCPCS 42975

Drug-induced sleep endoscopy, with dynamic evaluation of velum, pharynx, tongue base, and larynx for evaluation of sleep-disordered breathing, flexible, diagnostic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.80 / $3,496.33 / $4,579.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.14 / $152.12 / $2,537.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$205.74 / $218.15 / $272.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.25 / $138.58 / $4,340.16
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.10 / $227.44 / $720.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$156.66 / $294.10 / $1,861.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.80 / $258.64 / $330.58
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$130.66 / $165.68 / $188.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$132.10 / $205.42 / $319.54
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$187.40 / $220.50 / $229.30