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South Dakota rates for HCPCS 21610

Costotransversectomy (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $3,090.30 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,148.15 / $2,137.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,949.84 / $2,630.27 / $3,311.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.38 / $1,862.09 / $3,162.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,047.13 / $1,862.09 / $8,709.64
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $2,570.40 / $2,570.40
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $2,398.83 / $2,454.71
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,258.93 / $2,041.74 / $2,398.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,162.28 / $3,162.28 / $3,162.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,202.26 / $2,041.74 / $3,090.30
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,398.83 / $2,818.38 / $2,884.03