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South Dakota rates for HCPCS 21355

Percutaneous Tx Malar Area Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$333.80 / $462.55 / $462.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$280.47 / $386.51 / $897.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.60 / $941.74 / $1,295.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$460.13 / $653.20 / $1,059.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$459.45 / $973.61 / $3,354.72
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$727.07 / $984.71 / $3,276.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$662.60 / $850.88 / $1,149.51
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.49 / $646.25 / $875.26
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
$486.95 / $894.96 / $1,200.56
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$641.10 / $784.40 / $1,062.40