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South Dakota rates for HCPCS 21208

Osteoplasty, facial bones; augmentation (autograft, allograft, or prosthetic implant)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$676.08 / $1,445.44 / $2,630.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,187.76 / $4,897.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $3,715.35 / $12,022.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,621.81 / $1,862.09 / $3,981.07
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,584.89 / $1,862.09 / $4,168.69
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $2,137.96 / $3,235.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $2,089.30 / $4,677.35
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,778.28 / $3,801.89