go back

South Dakota rates for HCPCS 21356

Open Tx Depressed Zygomatic Arch Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$407.07 / $559.65 / $559.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$353.87 / $474.37 / $1,531.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.64 / $1,151.11 / $1,575.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$529.74 / $788.81 / $1,278.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.25 / $1,138.85 / $4,044.32
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$795.47 / $1,138.85 / $6,855.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.52 / $977.21 / $1,335.15
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.86 / $794.39 / $1,069.33
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
$548.90 / $946.71 / $1,396.81
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.10 / $964.20 / $1,297.90