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South Dakota rates for HCPCS 20926

Tissue Grafts, Other (Eg, Paratenon, Fat, Dermis)

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$815.62 / $897.52 / $1,121.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,625.27 / $2,625.27 / $2,625.27
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$640.32 / $640.32 / $640.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$494.08 / $728.00 / $867.61
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$449.38 / $652.49 / $728.53