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South Dakota rates for HCPCS 21249

Rcnstj Mandible/Maxl Endosteal Implant Complete

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$937.46 / $1,134.31 / $3,167.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,091.94 / $3,086.79 / $3,858.49
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,578.60 / $3,561.18 / $13,311.20
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,302.36 / $2,907.53 / $3,564.54
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,566.22 / $2,180.69 / $2,612.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,618.12 / $2,540.11 / $3,951.28
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,163.30 / $2,646.90 / $3,170.60