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South Dakota rates for HCPCS 21315

Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59.27 / $157.44 / $1,040.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.29 / $156.96 / $425.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.19 / $295.12 / $448.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.72 / $240.31 / $612.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.55 / $625.36 / $1,320.85
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$146.30 / $416.15 / $1,544.84
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.13 / $405.32 / $625.36
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.53 / $254.60 / $462.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.68 / $495.20 / $770.31
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.20 / $142.10 / $363.50