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South Dakota rates for HCPCS 21209

Osteoplasty, facial bones; reduction

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$518.40 / $737.29 / $1,346.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.14 / $1,745.18 / $2,287.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.80 / $1,628.08 / $10,000.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,238.88 / $1,602.13 / $2,111.90
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$834.30 / $1,179.95 / $1,531.21
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$704.63 / $1,460.56 / $2,271.98
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,170.59 / $1,432.20 / $1,858.60