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South Dakota rates for HCPCS 21330

Open Tx Nasal Fx Comp W/Int&/Xtrnl Skeletal Fi

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$550.02 / $550.02 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.99 / $550.02 / $1,257.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$945.03 / $1,230.20 / $1,537.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$657.90 / $900.09 / $1,494.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$566.21 / $1,195.28 / $4,935.14
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$996.83 / $1,392.00 / $6,855.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$867.79 / $1,155.58 / $1,434.38
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$659.48 / $915.22 / $1,043.45
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
$626.10 / $1,075.85 / $1,562.26
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,035.09 / $1,266.50 / $1,266.50