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South Dakota rates for HCPCS G0414

Open Treatment Of Anterior Pelvic Bone Fracture And/Or Dislocation For Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$969.71 / $969.71 / $4,338.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,194.83 / $1,537.30 / $2,501.23
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,249.28 / $1,549.29 / $2,301.55
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,213.60 / $1,681.59 / $1,978.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,357.00 / $5,357.00 / $5,357.00