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South Dakota rates for HCPCS 21630

Radical Resection Sternum

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,301.36 / $1,301.36 / $4,338.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,090.76 / $1,301.36 / $3,122.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,259.94 / $2,941.88 / $3,677.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,633.06 / $2,080.73 / $3,172.17
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,216.78 / $2,463.03 / $9,908.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,824.36 / $2,776.10 / $4,053.49
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,824.36 / $2,535.66 / $3,200.23
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,471.37 / $2,044.59 / $2,573.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,210.81 / $2,119.10 / $3,296.38
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,552.90 / $3,123.50 / $3,123.50