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South Dakota rates for HCPCS 21825

Open Tx Sternum Fracture W/Wo Skeletal Fixation

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.59 / $537.59 / $537.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$705.85 / $908.53 / $1,406.00
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$804.44 / $1,223.42 / $1,706.09
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.25 / $920.24 / $1,087.44
Sanford Health Plan
Facility/Professional
Professional
Modifier
AS
Low / Median / High Price
$200.62 / $200.62 / $200.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00