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South Dakota rates for HCPCS 21340

Percutaneous Tx Nasoethmoid Complex Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$757.12 / $757.12 / $757.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$635.89 / $757.12 / $1,795.03
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,311.31 / $1,707.01 / $2,133.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$997.90 / $1,251.63 / $2,140.02
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.42 / $1,697.09 / $7,223.58
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,285.00 / $1,867.74 / $3,276.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,249.91 / $1,588.61 / $1,983.52
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$911.96 / $1,295.94 / $1,477.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$754.42 / $1,321.16 / $2,055.14
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,465.80 / $1,793.40 / $1,793.40