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South Dakota rates for HCPCS 27200

Closed treatment of coccygeal fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.22 / $195.00 / $195.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.24 / $195.00 / $354.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$333.61 / $458.89 / $573.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$241.75 / $297.58 / $468.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$188.55 / $425.82 / $1,463.92
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$230.01 / $420.98 / $497.24
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$283.00 / $416.28 / $514.02
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.82 / $328.84 / $392.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$821.00 / $821.00 / $821.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.16 / $329.21 / $513.97
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$383.80 / $469.50 / $476.60