go back

South Dakota rates for HCPCS 20956

Bone graft with microvascular anastomosis; iliac crest

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,568.80 / $2,568.80 / $2,568.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,160.96 / $2,568.80 / $6,257.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,455.83 / $5,800.40 / $7,250.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,104.23 / $4,257.67 / $6,890.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,611.02 / $5,392.86 / $19,269.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,990.06 / $5,980.72 / $8,137.22
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,990.06 / $5,523.16 / $7,061.83
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,254.69 / $4,452.45 / $5,148.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,824.83 / $5,136.06 / $7,211.29
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,107.70 / $6,249.40 / $6,249.40