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South Dakota rates for HCPCS 22315

Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$763.50 / $886.56 / $886.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$701.47 / $771.61 / $1,389.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,386.67 / $2,056.56 / $2,571.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,082.65 / $1,290.32 / $2,008.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$917.10 / $1,973.97 / $6,642.56
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,311.29 / $2,020.37 / $3,711.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,311.29 / $1,748.16 / $2,344.38
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$905.47 / $1,478.20 / $1,795.79
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $2,000.00 / $2,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.72 / $1,366.13 / $2,408.53
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,541.50 / $1,886.10 / $2,179.69