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South Dakota rates for HCPCS 21360

Open treatment of depressed malar fracture, including zygomatic arch and malar tripod

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $537.03 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$478.63 / $537.03 / $1,071.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$933.25 / $1,230.27 / $1,548.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$691.83 / $891.25 / $1,412.54
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $912.01 / $4,897.79
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,174.90 / $1,174.90
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,047.13 / $1,202.26
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$602.56 / $891.25 / $1,023.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,691.53 / $2,691.53 / $2,691.53
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $954.99 / $1,513.56
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,023.29 / $1,202.26 / $1,258.93