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South Dakota rates for HCPCS 21812

Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed, unilateral; 4-6 ribs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$675.78 / $675.78 / $3,511.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$816.36 / $1,123.48 / $1,898.79
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,087.77 / $1,569.72 / $2,220.19
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$899.74 / $1,215.94 / $1,386.31
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$271.14 / $271.14 / $271.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $14,287.46