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South Dakota rates for HCPCS 21082

Impression & Prepj Palatal Augmentation Prosthes

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$938.89 / $1,220.98 / $3,459.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,332.86 / $3,152.73 / $4,207.14
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,712.57 / $3,596.24 / $10,738.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,456.98 / $2,960.45 / $3,726.59
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,643.68 / $2,204.64 / $2,851.54
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,535.90 / $2,681.93 / $4,171.89
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,187.10 / $2,676.00 / $3,461.20