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South Dakota rates for HCPCS 21360

Open Tx Depressed Malar Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$531.80 / $531.80 / $531.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.45 / $531.80 / $1,263.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$923.49 / $1,202.15 / $1,502.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$696.64 / $894.90 / $1,416.61
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.36 / $1,120.29 / $4,864.16
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$981.78 / $1,354.40 / $6,855.77
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.39 / $1,084.68 / $1,374.27
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$631.40 / $897.57 / $1,033.09
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
$501.36 / $911.21 / $1,417.44
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,024.90 / $1,254.00 / $1,254.00