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South Dakota rates for HCPCS 21813

Open Tx Rib Fx W/Fixj Thoracoscopic Vis 7+ Ribs

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$917.72 / $917.72 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$773.53 / $917.72 / $2,861.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,606.43 / $2,056.82 / $2,571.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,111.18 / $1,532.19 / $2,584.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,011.26 / $1,930.59 / $7,009.20
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,443.02 / $2,136.80 / $3,042.99
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,443.02 / $2,136.80 / $2,615.76
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,214.70 / $1,655.89 / $1,899.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,714.00 / $2,714.00 / $2,714.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,011.26 / $1,838.66 / $2,631.89
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,884.20 / $2,305.30 / $2,305.30