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South Dakota rates for HCPCS 20969

Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $4,365.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.13 / $4,466.84 / $7,079.46
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,623.41 / $6,309.57 / $6,309.57
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,235.94 / $4,570.88 / $5,248.07
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,047.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $4,466.84