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South Dakota rates for HCPCS 21620

Ostectomy Sternum Partial

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.84 / $491.84 / $491.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$646.65 / $846.72 / $1,313.08
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$753.61 / $1,132.38 / $1,569.46
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$624.28 / $844.19 / $985.88
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$186.85 / $186.85 / $186.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,500.00 / $4,500.00 / $4,500.00