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South Dakota rates for HCPCS 21325

Open treatment of nasal fracture; uncomplicated

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.62 / $460.62 / $460.62
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.13 / $460.62 / $709.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$791.22 / $1,029.97 / $1,287.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$547.88 / $745.81 / $1,242.63
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$465.15 / $992.63 / $3,319.36
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$830.53 / $1,167.33 / $3,276.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$717.45 / $940.99 / $1,197.57
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.20 / $761.45 / $868.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$381.92 / $785.77 / $1,222.31
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$861.20 / $1,053.70 / $1,053.70