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South Dakota rates for HCPCS 21445

Optx Mandibular/Maxillary Alveolar Ridge Fx Spx

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$593.14 / $732.66 / $1,254.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,115.59 / $1,726.18 / $2,247.69
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$770.40 / $1,769.33 / $5,774.16
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,165.82 / $1,516.49 / $2,081.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$801.09 / $1,214.88 / $1,494.99
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$681.21 / $1,417.50 / $2,205.00
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,205.20 / $1,474.60 / $1,814.60