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South Dakota rates for HCPCS 20933

Hemicortical Intercalary Allograft Partial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$664.69 / $664.69 / $2,290.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.02 / $664.69 / $1,074.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,146.13 / $1,491.98 / $1,864.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$801.60 / $978.47 / $1,205.92
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$699.09 / $1,271.08 / $5,012.24
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,237.48 / $1,505.81 / $2,134.67
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,363.86 / $1,498.97 / $1,860.59
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$814.78 / $1,173.95 / $1,338.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$581.62 / $1,175.75 / $1,795.86
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,327.80 / $1,624.60 / $1,624.60