go back

South Dakota rates for HCPCS 20922

Fascia Lata Graft Incision & Area Exposure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$485.40 / $609.16 / $609.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$686.24 / $874.25 / $1,417.43
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,060.60 / $1,335.14 / $2,305.56
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$620.19 / $984.58 / $1,204.53
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00