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South Dakota rates for HCPCS 21320

Closed treatment of nasal bone fracture with manipulation; with stabilization

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94.04 / $226.70 / $4,500.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.04 / $225.43 / $358.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$200.59 / $365.33 / $628.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$133.75 / $315.44 / $659.22
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.96 / $511.10 / $1,658.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$234.01 / $521.86 / $3,276.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.61 / $385.95 / $588.66
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.27 / $313.01 / $425.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $6,486.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.96 / $434.06 / $713.36
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.50 / $224.60 / $509.60