go back

South Dakota rates for HCPCS 21610

Costotransversectomy Separate Procedure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,079.14 / $1,079.14 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$960.19 / $1,079.14 / $1,893.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,967.87 / $2,561.67 / $3,202.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,379.31 / $1,781.05 / $3,065.79
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,069.00 / $2,305.80 / $8,612.71
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,694.52 / $2,658.11 / $3,737.52
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,694.52 / $2,425.89 / $3,151.22
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,267.83 / $2,057.96 / $2,399.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,067.76 / $2,000.99 / $3,112.65
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,380.30 / $2,912.30 / $2,912.30