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South Dakota rates for HCPCS 21029

Removal Contouring Benign Tumor Facial Bone

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$627.05 / $785.68 / $785.68
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$865.51 / $1,112.35 / $1,803.47
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,170.01 / $1,708.88 / $3,276.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$857.41 / $1,234.93 / $1,518.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00