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South Dakota rates for HCPCS 21338

Open Tx Nasoethmoid Fx W/O External Fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$692.21 / $692.21 / $692.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.42 / $692.21 / $1,580.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,198.34 / $1,551.19 / $1,938.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.43 / $1,127.67 / $1,958.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$744.32 / $1,507.81 / $5,007.80
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,248.22 / $1,757.08 / $7,030.81
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.30 / $1,477.42 / $1,818.30
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$800.28 / $1,151.82 / $1,313.21
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
$800.96 / $1,453.88 / $1,834.31
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,302.80 / $1,594.00 / $1,594.00