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South Dakota rates for HCPCS 27202

Open Treatment Coccygeal Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$525.58 / $525.58 / $3,073.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$443.22 / $525.58 / $1,525.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,027.77 / $1,195.92 / $1,494.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.97 / $918.24 / $1,684.93
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$582.30 / $1,111.68 / $6,371.67
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$953.00 / $1,402.86 / $3,711.03
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$816.04 / $1,196.03 / $1,429.18
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$654.46 / $891.39 / $1,048.61
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.91 / $1,111.68 / $1,453.12
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,040.30 / $1,272.80 / $1,272.80