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South Dakota rates for HCPCS 20969

Free Ostq Flap W/Mvasc Anast Metar/Great Toe

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,687.94 / $2,687.94 / $2,687.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,565.19 / $4,531.30 / $7,138.89
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,218.14 / $6,303.20 / $8,345.79
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,314.99 / $4,612.59 / $5,261.24
Sanford Health Plan
Facility/Professional
Professional
Modifier
80
Low / Median / High Price
$1,018.44 / $1,018.44 / $1,018.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00