go back

South Dakota rates for HCPCS 21198

Osteotomy, mandible, segmental;

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,029.83 / $1,029.83 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$850.43 / $1,029.83 / $2,394.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,824.88 / $2,299.12 / $2,873.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,343.78 / $1,702.83 / $3,017.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,089.05 / $2,432.96 / $7,521.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,877.81 / $2,752.80 / $6,855.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,786.44 / $2,299.62 / $2,752.80
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,319.38 / $1,727.17 / $1,982.06
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
$1,273.73 / $2,155.39 / $3,094.31
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,953.50 / $2,390.10 / $2,390.10