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South Dakota rates for HCPCS 21026

Excision of bone (eg, for osteomyelitis or bone abscess); facial bone(s)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $549.54 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $549.54 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$794.33 / $1,288.25 / $1,621.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$602.56 / $794.33 / $1,380.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $1,230.27 / $5,011.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,096.48 / $1,348.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,122.02 / $1,380.38
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$645.65 / $870.96 / $1,071.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.54 / $954.99 / $1,584.89
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,047.13 / $1,288.25