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South Dakota rates for HCPCS 21495

Open Treatment Of Closed Or Open Hyoid Fracture

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,413.88 / $1,555.86 / $1,944.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$660.28 / $1,003.63 / $1,695.77
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,273.00 / $4,273.00 / $4,273.00
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$727.00 / $1,029.00 / $1,432.85
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.51 / $1,065.83 / $1,083.65