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South Dakota rates for HCPCS 21208

Osteoplasty Facial Bones Augmentation

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$626.63 / $1,413.73 / $2,618.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,568.46 / $2,165.60 / $4,740.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,740.14 / $3,969.52 / $12,126.80
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,568.46 / $2,795.39 / $4,435.26
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,227.31 / $2,277.78 / $3,183.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,939.01 / $3,259.52 / $4,859.96
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,441.40 / $1,763.60 / $3,812.90