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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
$405.11 / $405.11 / $405.11
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.84 / $405.11 / $954.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.43 / $917.00 / $1,146.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.62 / $660.45 / $1,036.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$386.36 / $815.30 / $2,999.60
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$748.07 / $1,032.17 / $2,305.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.95 / $809.86 / $1,047.31
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$481.52 / $667.18 / $787.92
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
$427.06 / $929.03 / $1,085.25
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$781.70 / $956.40 / $956.40