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South Dakota rates for HCPCS 21248

Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); partial

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $977.24 / $1,737.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $2,344.23 / $2,884.03
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $2,187.76 / $10,232.93
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,737.80 / $1,995.26 / $2,454.71
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,698.24 / $1,995.26 / $2,454.71
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,230.27 / $1,584.89 / $1,905.46
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$977.24 / $1,698.24 / $2,818.38
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,905.46 / $2,344.23