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South Dakota rates for HCPCS 21026

Excision Facial Bone

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.03 / $550.54 / $550.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.03 / $550.54 / $851.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$924.65 / $1,271.88 / $1,597.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$605.61 / $788.71 / $1,352.40
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$622.35 / $1,352.40 / $4,991.29
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $1,205.96 / $6,855.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$936.88 / $1,145.74 / $1,423.57
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$553.78 / $861.02 / $1,071.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.29 / $1,022.40 / $1,745.07
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$854.20 / $1,045.09 / $1,301.09