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South Dakota rates for HCPCS 21230

Graft; rib cartilage, autogenous, to face, chin, nose or ear (includes obtaining graft)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $4,365.16 / $6,918.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$977.24 / $1,258.93 / $1,995.26
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,698.24 / $1,698.24
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,230.27 / $1,445.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $4,466.84