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South Dakota rates for HCPCS 21270

Malar augmentation, prosthetic material

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$741.31 / $1,023.29 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$691.83 / $1,000.00 / $1,778.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.38 / $2,137.96 / $3,019.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,047.13 / $1,445.44 / $2,290.87
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.25 / $1,949.84 / $7,585.78
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $1,698.24 / $2,290.87
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,548.82 / $1,659.59 / $2,187.76
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,479.11 / $1,995.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $4,466.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$851.14 / $1,513.56 / $2,691.53
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,445.44 / $1,778.28 / $2,398.83