go back

South Dakota rates for HCPCS 21452

Percutaneous treatment of mandibular fracture, with external fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$489.78 / $794.33 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $707.95 / $1,174.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $1,348.96 / $2,187.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.44 / $912.01 / $1,479.11
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $1,148.15 / $5,495.41
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $912.01 / $1,513.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$724.44 / $758.58 / $1,318.26
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $977.24 / $1,380.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,995.26 / $1,995.26 / $1,995.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $912.01 / $1,737.80
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,071.52 / $1,698.24