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South Dakota rates for HCPCS 21184

Rcnstj Orbit/Fhd/Nasethmd Exc Bone Tum Grf>80sq

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,431.48 / $2,431.48 / $2,431.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,035.43 / $2,431.48 / $5,856.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,205.06 / $5,473.96 / $6,842.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,211.49 / $4,028.06 / $6,228.75
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,323.73 / $5,205.56 / $23,227.73
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,836.95 / $5,691.98 / $7,633.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,836.95 / $5,034.26 / $6,629.47
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,975.94 / $4,091.55 / $4,817.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,323.73 / $4,418.82 / $6,873.72
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,779.10 / $5,847.40 / $5,847.40