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South Dakota rates for HCPCS 20934

Allograft, includes templating, cutting, placement and internal fixation, when performed; intercalary, complete (ie, cylindrical) (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$723.40 / $723.40 / $2,290.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$607.76 / $723.40 / $1,169.06
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,248.47 / $1,625.20 / $2,031.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$873.05 / $1,065.85 / $1,313.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.51 / $1,384.56 / $5,459.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,347.71 / $1,640.45 / $2,322.39
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,486.18 / $1,632.71 / $2,027.24
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$887.86 / $1,278.92 / $1,458.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$761.51 / $1,256.17 / $1,954.04
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,446.50 / $1,769.80 / $1,769.80