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South Dakota rates for HCPCS 20957

Bone graft with microvascular anastomosis; metatarsal

Facilitymedian $4,169 · 10th–90th $2,692–$5,4950%20%10th90th$4,169Professionalmedian $3,467 · 10th–90th $2,512–$6,4570%20%10th90th$3,467$2.0K$5.0K$10.0K$20.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,691.53 / $2,691.53 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,238.72 / $2,691.53 / $5,623.41
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,677.35 / $6,165.95 / $7,762.47
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,235.94 / $4,466.84 / $5,754.40
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,454.71 / $4,466.84 / $19,952.62
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,570.88 / $6,165.95 / $6,165.95
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,570.88 / $4,570.88 / $5,128.61
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,951.21 / $3,981.07 / $5,370.32
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,370.32 / $5,370.32 / $14,791.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,454.71 / $4,168.69 / $7,244.36
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,370.32 / $6,456.54 / $6,456.54