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South Dakota rates for HCPCS 21181

Reconstruction by contouring of benign tumor of cranial bones (eg, fibrous dysplasia), extracranial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$738.85 / $738.85 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$619.02 / $738.85 / $1,320.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,284.98 / $1,672.73 / $2,090.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$967.38 / $1,217.98 / $1,939.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.54 / $1,527.92 / $6,323.73
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,358.76 / $1,852.05 / $6,855.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,123.89 / $1,465.96 / $1,982.61
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.54 / $1,238.92 / $1,457.47
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
$800.34 / $1,455.16 / $2,052.60
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.90 / $1,769.10 / $1,769.10