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South Dakota rates for HCPCS 21365

Open Tx Comp Fx Malar W/Internal Fx&Mult Surg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,082.35 / $1,082.35 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,428.20 / $1,790.96 / $2,933.40
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.42 / $2,866.75 / $6,855.77
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,337.39 / $1,857.80 / $2,121.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00