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South Dakota rates for HCPCS 20920

Fascia lata graft; by stripper

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.38 / $407.38 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $407.38 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $933.25 / $1,174.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $660.69 / $1,047.13
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$380.19 / $660.69 / $3,019.95
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $912.01 / $912.01
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $812.83 / $870.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $660.69 / $794.33
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
$426.58 / $724.44 / $1,096.48
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $912.01 / $954.99