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South Dakota rates for HCPCS 21470

Optx Comp Mandibular Fx Mlt Appr W/Int Fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,164.90 / $1,164.90 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,494.16 / $1,963.16 / $3,190.31
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,839.12 / $2,688.56 / $3,575.89
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,423.22 / $1,997.82 / $2,277.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00