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South Dakota rates for HCPCS 20962

Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal

Facilitymedian $4,074 · 10th–90th $2,630$5,2480%20%10th90th$4,074Professionalmedian $3,388 · 10th–90th $2,455$6,3100%10%10th90th$3,388$2.0K$5.0K$10.0K

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
$2,630.27 / $2,630.27 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,187.76 / $2,630.27 / $5,370.32
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,570.88 / $6,025.60 / $7,585.78
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,467.37 / $4,365.16 / $6,025.60
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,454.71 / $4,265.80 / $19,498.45
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,365.16 / $6,025.60 / $6,025.60
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4,365.16 / $4,365.16 / $4,786.30
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,890.45 / $5,248.07
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,466.84 / $4,466.84 / $14,791.08
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,570.40 / $4,073.80 / $6,918.31
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,128.61 / $6,309.57 / $6,309.57