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South Dakota rates for HCPCS 20696

Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic computer-assisted adjustment (eg, spatial frame), including imaging; initial and subsequent alignment(s), assessment(s), and computation(s) of adjustment schedule(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,161.82 / $1,161.82 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,397.25 / $1,834.90 / $3,161.57
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,142.67 / $3,034.70 / $34,908.94
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,491.59 / $1,999.52 / $2,279.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00