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South Dakota rates for HCPCS 21346

Open treatment of nasomaxillary complex fracture (LeFort II type); with wiring and/or local fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,051.17 / $1,051.17 / $1,051.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$869.94 / $1,051.17 / $2,368.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,773.36 / $2,308.46 / $2,885.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,249.83 / $1,648.84 / $2,378.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$948.73 / $1,884.44 / $7,653.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.13 / $2,131.04 / $3,204.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,380.13 / $1,974.86 / $2,713.90
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,115.54 / $1,533.74 / $1,963.34
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
$902.04 / $1,794.70 / $2,668.54
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,947.70 / $2,383.10 / $2,383.10