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South Dakota rates for HCPCS 21805

Open Tx Rib Fracture W/O Fixation Each

Insurance Carrier
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $588.84 / $741.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $407.38 / $575.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,630.78 / $3,630.78 / $3,630.78
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $295.12 / $457.09