go back

South Dakota rates for HCPCS 68326

Cjp Rcnstj Cul-De-Sac Buccal Grf/Xtnsv Rearrgmt

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$683.00 / $683.00 / $683.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$560.64 / $683.00 / $1,119.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,340.24 / $1,474.84 / $1,843.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$560.64 / $851.98 / $1,698.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$591.79 / $1,157.72 / $2,029.18
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,202.50 / $1,494.37 / $2,380.56
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$891.00 / $1,496.46 / $1,699.40
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$694.39 / $1,053.06 / $1,238.81
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
$673.64 / $1,165.93 / $1,800.90
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,207.30 / $1,477.20 / $1,477.20