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South Dakota rates for HCPCS 20972

Free Ostq Flap W/Mvasc Anastomosis Metatarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,760.59 / $2,760.59 / $2,760.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,323.17 / $2,760.59 / $6,732.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,616.64 / $6,235.92 / $7,794.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,548.05 / $4,576.60 / $6,248.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,587.40 / $5,014.49 / $20,722.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,616.64 / $6,281.32 / $8,461.12
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,746.19 / $5,339.68 / $7,592.66
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,945.20 / $4,679.80 / $5,538.76
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
$2,529.25 / $4,775.70 / $7,767.09
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,494.70 / $6,722.90 / $6,722.90