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South Dakota rates for HCPCS 24126

Exc/Curtg Bone Cst/B9 Tum H/N Rds/Olecrn W/Algrt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$652.04 / $652.04 / $3,511.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$549.72 / $652.04 / $1,569.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,140.74 / $1,484.96 / $1,856.21
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$839.19 / $1,073.11 / $1,688.99
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$613.49 / $1,318.76 / $4,849.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,089.00 / $1,607.61 / $10,731.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$968.60 / $1,347.85 / $1,754.02
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$795.01 / $1,101.93 / $1,297.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,143.00 / $3,143.00 / $3,143.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$603.61 / $1,146.69 / $1,783.74
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,287.40 / $1,575.10 / $1,575.10