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South Dakota rates for HCPCS 21365

Open treatment of complicated (eg, comminuted or involving cranial nerve foramina) fracture(s) of malar area, including zygomatic arch and malar tripod; with internal fixation and multiple surgical approaches

Facilitymedian $1,820 · 10th–90th $1,072–$4,8980%20%10th90th$1,820Professionalmedian $1,862 · 10th–90th $1,259–$2,3440%10%20%10th90th$1,862$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,071.52 / $4,365.16 / $4,897.79
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,412.54 / $1,778.28 / $2,884.03
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2,290.87 / $2,511.89 / $2,511.89
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,258.93 / $1,819.70 / $2,137.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,466.84 / $4,466.84 / $12,022.64