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South Dakota rates for HCPCS 13101

Repair Complex Trunk 2.6-7.5 Cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.16 / $396.76 / $396.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.90 / $369.62 / $928.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$547.12 / $700.22 / $1,138.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$326.70 / $559.16 / $1,015.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$350.01 / $842.54 / $2,948.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$570.13 / $719.53 / $1,069.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.36 / $738.92 / $1,073.68
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$356.90 / $568.63 / $762.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$431.07 / $782.38 / $1,128.08
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.70 / $536.79 / $855.20