go back

South Dakota rates for HCPCS 21034

Excision Malignant Tumor Maxilla/Zygoma

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,128.32 / $1,313.98 / $1,313.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,578.17 / $1,915.73 / $3,077.13
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,003.89 / $2,971.76 / $6,855.77
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.21 / $2,146.26 / $2,524.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00