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South Dakota rates for HCPCS 20957

Bone Graft Microvascular Anast Metatarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,677.03 / $2,677.03 / $2,677.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,252.61 / $2,677.03 / $6,517.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,589.26 / $6,047.37 / $7,559.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,235.87 / $4,435.78 / $5,748.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,484.27 / $4,825.30 / $20,077.91
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,546.46 / $6,084.36 / $8,471.98
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,546.46 / $5,174.64 / $7,354.87
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,820.85 / $3,998.75 / $5,363.45
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
$2,457.82 / $4,516.85 / $7,506.02
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,320.70 / $6,510.10 / $6,510.10